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Vascular consequences of retinectomy
1Vitreo-retinal Service, Moorfields Eye Hospital, London, England.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|February 1, 1996
Summary
Retinectomy can cause serious eye vascular issues, including retinal neovascularization (NV) and vitreous hemorrhage. Surgeons should remove all anterior retina and use laser treatment to prevent these complications.
Area of Science:
- Ophthalmology
- Vascular Biology
- Retinal Surgery
Background:
- Retinectomy is a surgical procedure to remove retinal tissue.
- Potential vascular complications following retinectomy are not fully understood.
Purpose of the Study:
- To define the vascular sequelae of retinectomy.
- To identify risk factors and preventive strategies for post-retinectomy vascular complications.
Main Methods:
- Clinical and angiographic survey of 20 patients post-retinectomy.
- Ophthalmic examination including biomicroscopy, indirect ophthalmoscopy, and fluorescein angiography.
Main Results:
- 50% of eyes showed anterior retinal neovascularization (NV).
- Retinal NV was associated with iris NV and inferior iridectomy occlusion.
- Two patients experienced postoperative vitreous hemorrhages; no neovascular glaucoma or optic disc NV observed.
Conclusions:
- Retinectomy can lead to significant secondary ocular vascular changes, including retinal NV, iris NV, and vitreous hemorrhage.
- Complete removal of anterior retina and prophylactic laser treatment are recommended to prevent retinal NV and associated complications.