Proliferative vitreoretinopathy may be a risk factor in combined macular hole retinal detachment cases

Matthew A Cunningham; Ryan M Tarantola; James C Folk; Elliott H Sohn; H Culver Boldt; Jordan A Graff; Korianne Elkins; Stephen R Russell; Vinit B Mahajan

doi:10.1097/IAE.0b013e31826b0c41

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Proliferative vitreoretinopathy may be a risk factor in combined macular hole retinal detachment cases

Journal article

Peer reviewed

Proliferative vitreoretinopathy may be a risk factor in combined macular hole retinal detachment cases

Matthew A Cunningham, Ryan M Tarantola, James C Folk, Elliott H Sohn, H Culver Boldt, Jordan A Graff, Korianne Elkins, Stephen R Russell and Vinit B Mahajan

Retina (Philadelphia, Pa.), Vol.33(3), pp.579-585

03/2013

DOI: 10.1097/IAE.0b013e31826b0c41

PMID: 23222494

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Abstract

To review the incidence and closure rate of full-thickness macular holes (MH) in cases associated with concomitant rhegmatogenous retinal detachment (RRD). A retrospective consecutive case series was performed from patients undergoing surgical repair of RRD and simultaneous closure of MH. The presence of proliferative vitreoretinopathy (PVR), rates of hole closure and reattachment, and visual acuity outcomes were evaluated. There were a total of 607 RRDs during the study period. The incidence of concomitant MH in RRD cases was 2.3% (14 of 607), and the overall incidence of PVR was 15.8% (96 of 607). All eyes with a MH had a primary break that was distinct from the MH. Five patients did not meet the inclusion criteria for review of the postoperative outcomes. In the remaining 9 patients, the retinal reattachment rate was 100%, and MH closure was achieved in 8 of 9 (89%) eyes after a single surgery. At the time of primary repair, PVR was present in 6 of these 9 cases (66.7%). There was a significant association between the presence of PVR and a concomitant MH (P = 0.0027). The mean preoperative visual acuity was 2.59 ± 0.649 logarithm of the minimum angle of resolution units and significantly improved to 1.23 ± 1.01 logarithm of the minimum angle of resolution units (P = 0.00124). Overall, 88.8% of patients showed an improvement in visual acuity at the final postoperative visit, and a visual acuity of 20/125 or better was achieved in 66.7% of cases. Macular holes combined with a RRD are infrequent, and good anatomical results can be achieved after a simultaneous repair. Also, PVR may be more frequently encountered in this particular subset of RRDs.

Endotamponade

Vitreoretinopathy, Proliferative - complications

Humans

Middle Aged

Risk Factors

Retinal Perforations - physiopathology

Male

Retinal Perforations - complications

Retinal Detachment - surgery

Basement Membrane - surgery

Retinal Detachment - complications

Adolescent

Retinal Detachment - physiopathology

Aged, 80 and over

Female

Retinal Perforations - surgery

Vitrectomy

Aged

Retrospective Studies

Scleral Buckling

Visual Acuity - physiology

Details

Title: Subtitle: Proliferative vitreoretinopathy may be a risk factor in combined macular hole retinal detachment cases
Creators: Matthew A Cunningham - Vitreoretinal Service, Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA
Ryan M Tarantola
James C Folk
Elliott H Sohn
H Culver Boldt
Jordan A Graff
Korianne Elkins
Stephen R Russell
Vinit B Mahajan
Resource Type: Journal article
Publication Details: Retina (Philadelphia, Pa.), Vol.33(3), pp.579-585
Publisher: United States
DOI: 10.1097/IAE.0b013e31826b0c41
PMID: 23222494
ISSN: 0275-004X
eISSN: 1539-2864
Language: English
Date published: 03/2013
Academic Unit: Stead Family Department of Pediatrics; Ophthalmology and Visual Sciences
Record Identifier: 9983979992102771

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