SURGICAL OUTCOMES AND COMPLICATIONS OF RHEGMATOGENOUS RETINAL DETACHMENT IN EYES WITH CHORIORETINAL COLOBOMA: The Results of the KKESH International Collaborative Retina Study Group

for the King Khaled Eye Specialist Hospital (KKESH) International Collaborative Retina Study Group

Research output: Contribution to journalArticle

Abstract

PURPOSE:: To study the outcomes of management of rhegmatogenous retinal detachment in eyes with chorioretinal colobomas. METHODS:: A retrospective review of 119 patients (119 eyes) with chorioretinal colobomas who underwent surgical repair for rhegmatogenous retinal detachment was performed. Data were collected on the site of the retinal break, type of surgery, anatomical success, and complications. RESULTS:: The most common location of the primary retinal break was the intercalary membrane in 58.8% of eyes. The most common surgical intervention was vitrectomy with endolaser and silicone oil tamponade (77.3% of eyes). Final anatomical success was achieved in 87.4% of eyes. Anatomical success was significantly higher in eyes that received long-acting tamponade (P = 0.006). Cryotherapy was significantly associated with failure of primary vitrectomy (P = 0.028). Placement of an encircling band did not affect anatomical outcomes (P = 0.75). Most of the eyes (60%) with recurrent retinal detachment after primary vitrectomy had a primary break within the normal retina. CONCLUSION:: The optimal option for managing retinal detachment in eyes with chorioretinal colobomas is pars plana vitrectomy with long-acting tamponade (silicone oil or octafluoropropane) and retinopexy to the edge of the coloboma and the primary breaks. Cryotherapy is associated with poor anatomical outcomes. An encircling band does not seem to affect the final anatomical outcome.

Original languageEnglish (US)
JournalRetina
DOIs
StateAccepted/In press - Jan 6 2017

Fingerprint

Coloboma
Retinal Detachment
Retina
Vitrectomy
Silicone Oils
Retinal Perforations
Cryotherapy
perflutren
Temazepam
Outcome Assessment (Health Care)
Membranes

ASJC Scopus subject areas

  • Ophthalmology

Cite this

SURGICAL OUTCOMES AND COMPLICATIONS OF RHEGMATOGENOUS RETINAL DETACHMENT IN EYES WITH CHORIORETINAL COLOBOMA : The Results of the KKESH International Collaborative Retina Study Group. / for the King Khaled Eye Specialist Hospital (KKESH) International Collaborative Retina Study Group.

In: Retina, 06.01.2017.

Research output: Contribution to journalArticle

@article{44283875ce774033a9ed9be4e6784a80,
title = "SURGICAL OUTCOMES AND COMPLICATIONS OF RHEGMATOGENOUS RETINAL DETACHMENT IN EYES WITH CHORIORETINAL COLOBOMA: The Results of the KKESH International Collaborative Retina Study Group",
abstract = "PURPOSE:: To study the outcomes of management of rhegmatogenous retinal detachment in eyes with chorioretinal colobomas. METHODS:: A retrospective review of 119 patients (119 eyes) with chorioretinal colobomas who underwent surgical repair for rhegmatogenous retinal detachment was performed. Data were collected on the site of the retinal break, type of surgery, anatomical success, and complications. RESULTS:: The most common location of the primary retinal break was the intercalary membrane in 58.8{\%} of eyes. The most common surgical intervention was vitrectomy with endolaser and silicone oil tamponade (77.3{\%} of eyes). Final anatomical success was achieved in 87.4{\%} of eyes. Anatomical success was significantly higher in eyes that received long-acting tamponade (P = 0.006). Cryotherapy was significantly associated with failure of primary vitrectomy (P = 0.028). Placement of an encircling band did not affect anatomical outcomes (P = 0.75). Most of the eyes (60{\%}) with recurrent retinal detachment after primary vitrectomy had a primary break within the normal retina. CONCLUSION:: The optimal option for managing retinal detachment in eyes with chorioretinal colobomas is pars plana vitrectomy with long-acting tamponade (silicone oil or octafluoropropane) and retinopexy to the edge of the coloboma and the primary breaks. Cryotherapy is associated with poor anatomical outcomes. An encircling band does not seem to affect the final anatomical outcome.",
author = "{for the King Khaled Eye Specialist Hospital (KKESH) International Collaborative Retina Study Group} and Abouammoh, {Marwan A.} and Alsulaiman, {Sulaiman M.} and Gupta, {Vishali S.} and Afnan Younis and Jay Chhablani and Abdullah Hussein and Casella, {Antonio M.} and Banker, {Alay S.} and Arevalo, {J Fernando}",
year = "2017",
month = "1",
day = "6",
doi = "10.1097/IAE.0000000000001444",
language = "English (US)",
journal = "Retina",
issn = "0275-004X",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - SURGICAL OUTCOMES AND COMPLICATIONS OF RHEGMATOGENOUS RETINAL DETACHMENT IN EYES WITH CHORIORETINAL COLOBOMA

T2 - The Results of the KKESH International Collaborative Retina Study Group

AU - for the King Khaled Eye Specialist Hospital (KKESH) International Collaborative Retina Study Group

AU - Abouammoh, Marwan A.

AU - Alsulaiman, Sulaiman M.

AU - Gupta, Vishali S.

AU - Younis, Afnan

AU - Chhablani, Jay

AU - Hussein, Abdullah

AU - Casella, Antonio M.

AU - Banker, Alay S.

AU - Arevalo, J Fernando

PY - 2017/1/6

Y1 - 2017/1/6

N2 - PURPOSE:: To study the outcomes of management of rhegmatogenous retinal detachment in eyes with chorioretinal colobomas. METHODS:: A retrospective review of 119 patients (119 eyes) with chorioretinal colobomas who underwent surgical repair for rhegmatogenous retinal detachment was performed. Data were collected on the site of the retinal break, type of surgery, anatomical success, and complications. RESULTS:: The most common location of the primary retinal break was the intercalary membrane in 58.8% of eyes. The most common surgical intervention was vitrectomy with endolaser and silicone oil tamponade (77.3% of eyes). Final anatomical success was achieved in 87.4% of eyes. Anatomical success was significantly higher in eyes that received long-acting tamponade (P = 0.006). Cryotherapy was significantly associated with failure of primary vitrectomy (P = 0.028). Placement of an encircling band did not affect anatomical outcomes (P = 0.75). Most of the eyes (60%) with recurrent retinal detachment after primary vitrectomy had a primary break within the normal retina. CONCLUSION:: The optimal option for managing retinal detachment in eyes with chorioretinal colobomas is pars plana vitrectomy with long-acting tamponade (silicone oil or octafluoropropane) and retinopexy to the edge of the coloboma and the primary breaks. Cryotherapy is associated with poor anatomical outcomes. An encircling band does not seem to affect the final anatomical outcome.

AB - PURPOSE:: To study the outcomes of management of rhegmatogenous retinal detachment in eyes with chorioretinal colobomas. METHODS:: A retrospective review of 119 patients (119 eyes) with chorioretinal colobomas who underwent surgical repair for rhegmatogenous retinal detachment was performed. Data were collected on the site of the retinal break, type of surgery, anatomical success, and complications. RESULTS:: The most common location of the primary retinal break was the intercalary membrane in 58.8% of eyes. The most common surgical intervention was vitrectomy with endolaser and silicone oil tamponade (77.3% of eyes). Final anatomical success was achieved in 87.4% of eyes. Anatomical success was significantly higher in eyes that received long-acting tamponade (P = 0.006). Cryotherapy was significantly associated with failure of primary vitrectomy (P = 0.028). Placement of an encircling band did not affect anatomical outcomes (P = 0.75). Most of the eyes (60%) with recurrent retinal detachment after primary vitrectomy had a primary break within the normal retina. CONCLUSION:: The optimal option for managing retinal detachment in eyes with chorioretinal colobomas is pars plana vitrectomy with long-acting tamponade (silicone oil or octafluoropropane) and retinopexy to the edge of the coloboma and the primary breaks. Cryotherapy is associated with poor anatomical outcomes. An encircling band does not seem to affect the final anatomical outcome.

UR - http://www.scopus.com/inward/record.url?scp=85008704782&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85008704782&partnerID=8YFLogxK

U2 - 10.1097/IAE.0000000000001444

DO - 10.1097/IAE.0000000000001444

M3 - Article

C2 - 28067725

AN - SCOPUS:85008704782

JO - Retina

JF - Retina

SN - 0275-004X

ER -