Long-term surgical outcomes of retinal detachment associated with acute retinal necrosis

Laura J. Kopplin; Akshay S. Thomas; Stephanie Cramer; Yu Hyon Kim; Steven Yeh; Andreas K. Lauer; Christina J. Flaxel

doi:10.3928/23258160-20160707-08

Long-term surgical outcomes of retinal detachment associated with acute retinal necrosis

Laura J. Kopplin, Akshay S. Thomas, Stephanie Cramer, Yu Hyon Kim, Steven Yeh, Andreas K. Lauer, Christina J. Flaxel

Ophthalmology

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: To determine the long-term visual and surgical outcomes of patients with acute retinal necrosis (ARN) associated retinal detachment (RD). PATIENTS AND METHODS: The authors conducted a single-center, retrospective chart review from 2001 to 2012 of 32 eyes from 27 patients diagnosed with ARN. The authors assessed the rates and risk factors for recurrent RD in eyes having undergone primary RD repair for ARN-related RD. RESULTS: Fifteen eyes (46.9%) developed RD and 13 underwent surgical repair. Recurrent RD developed in six eyes (46.2%), occurring 35 days to 10 months after primary retinal surgery. There was no difference in the rate of recurrent RD between eyes treated with or without intravitreal foscarnet (P = .48) or initial scleral buckle (P = .31). Six eyes (46.2%) developed severe vision loss, with a final Snellen visual acuity of less than 20/200. CONCLUSION: Recurrent RD after primary repair is a frequent complication of ARN. Overall, visual prognosis is guarded despite surgical intervention.

Original language	English (US)
Pages (from-to)	660-664
Number of pages	5
Journal	Ophthalmic Surgery Lasers and Imaging Retina
Volume	47
Issue number	7
DOIs	https://doi.org/10.3928/23258160-20160707-08
State	Published - Jul 2016

ASJC Scopus subject areas

Surgery
Ophthalmology

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title = "Long-term surgical outcomes of retinal detachment associated with acute retinal necrosis",

abstract = "BACKGROUND AND OBJECTIVE: To determine the long-term visual and surgical outcomes of patients with acute retinal necrosis (ARN) associated retinal detachment (RD). PATIENTS AND METHODS: The authors conducted a single-center, retrospective chart review from 2001 to 2012 of 32 eyes from 27 patients diagnosed with ARN. The authors assessed the rates and risk factors for recurrent RD in eyes having undergone primary RD repair for ARN-related RD. RESULTS: Fifteen eyes (46.9%) developed RD and 13 underwent surgical repair. Recurrent RD developed in six eyes (46.2%), occurring 35 days to 10 months after primary retinal surgery. There was no difference in the rate of recurrent RD between eyes treated with or without intravitreal foscarnet (P = .48) or initial scleral buckle (P = .31). Six eyes (46.2%) developed severe vision loss, with a final Snellen visual acuity of less than 20/200. CONCLUSION: Recurrent RD after primary repair is a frequent complication of ARN. Overall, visual prognosis is guarded despite surgical intervention.",

author = "Kopplin, {Laura J.} and Thomas, {Akshay S.} and Stephanie Cramer and Kim, {Yu Hyon} and Steven Yeh and Lauer, {Andreas K.} and Flaxel, {Christina J.}",

year = "2016",

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AU - Kopplin, Laura J.

AU - Thomas, Akshay S.

AU - Cramer, Stephanie

AU - Kim, Yu Hyon

AU - Yeh, Steven

AU - Lauer, Andreas K.

AU - Flaxel, Christina J.

PY - 2016/7

Y1 - 2016/7

N2 - BACKGROUND AND OBJECTIVE: To determine the long-term visual and surgical outcomes of patients with acute retinal necrosis (ARN) associated retinal detachment (RD). PATIENTS AND METHODS: The authors conducted a single-center, retrospective chart review from 2001 to 2012 of 32 eyes from 27 patients diagnosed with ARN. The authors assessed the rates and risk factors for recurrent RD in eyes having undergone primary RD repair for ARN-related RD. RESULTS: Fifteen eyes (46.9%) developed RD and 13 underwent surgical repair. Recurrent RD developed in six eyes (46.2%), occurring 35 days to 10 months after primary retinal surgery. There was no difference in the rate of recurrent RD between eyes treated with or without intravitreal foscarnet (P = .48) or initial scleral buckle (P = .31). Six eyes (46.2%) developed severe vision loss, with a final Snellen visual acuity of less than 20/200. CONCLUSION: Recurrent RD after primary repair is a frequent complication of ARN. Overall, visual prognosis is guarded despite surgical intervention.

AB - BACKGROUND AND OBJECTIVE: To determine the long-term visual and surgical outcomes of patients with acute retinal necrosis (ARN) associated retinal detachment (RD). PATIENTS AND METHODS: The authors conducted a single-center, retrospective chart review from 2001 to 2012 of 32 eyes from 27 patients diagnosed with ARN. The authors assessed the rates and risk factors for recurrent RD in eyes having undergone primary RD repair for ARN-related RD. RESULTS: Fifteen eyes (46.9%) developed RD and 13 underwent surgical repair. Recurrent RD developed in six eyes (46.2%), occurring 35 days to 10 months after primary retinal surgery. There was no difference in the rate of recurrent RD between eyes treated with or without intravitreal foscarnet (P = .48) or initial scleral buckle (P = .31). Six eyes (46.2%) developed severe vision loss, with a final Snellen visual acuity of less than 20/200. CONCLUSION: Recurrent RD after primary repair is a frequent complication of ARN. Overall, visual prognosis is guarded despite surgical intervention.

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Long-term surgical outcomes of retinal detachment associated with acute retinal necrosis

Abstract

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