Cataract progression after primary pars plana vitrectomy for uncomplicated rhegmatogenous retinal detachments in young adults.

IF 1.9 Q2 OPHTHALMOLOGY International Journal of Retina and Vitreous Pub Date : 2024-02-21 DOI:10.1186/s40942-024-00538-4

Venkatkrish M Kasetty, Pedro F Monsalve, Dhruv Sethi, Candice Yousif, Thomas Hessburg, Nitin Kumar, Abdualrahman E Hamad, Uday R Desai

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Abstract

Background: Scleral buckling is typically implemented to repair rhegmatogenous retinal detachments (RRD) in young patients. Therefore, there is limited data on post-pars plana vitrectomy (PPV) cataract formation in this cohort. We report the rates and risk factors of cataract progression after PPV for RRD repair in young eyes.

Methods: Retrospective single-center cohort study. Medical records of patients between the ages of 15 to 45 undergoing PPV for uncomplicated RRD between 2014 and 2020 were reviewed.

Results: Twenty-eight eyes from 26 patients met inclusion criteria. Cataracts developed in 20/28 (71%) eyes after PPV. After PPV, nuclear sclerotic cataract (NSC) rates were higher in patients above 35 (65%) compared to below 35 years (18%) (p = 0.024). Cataracts developed more frequently after macula-off RRDs (88%) compared to macula-on RRDs (50%) (p = 0.044) with NSC more common in macula-off detachments (p = 0.020). At postoperative month 2, all eyes with C₃F₈ gas developed cataracts compared to 59% of eyes with no gas (p = 0.040).

Conclusions: Cataract formation was common and frequent after PPV. After PPV, young eyes and macula-on detachments developed cataracts less frequently than older eyes and macula-off detachments. If appropriate, a shorter acting gas tamponade should be considered in young eyes to minimize cataract formation.

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青壮年无并发症流变性视网膜脱离的原发性视网膜旁玻璃体切除术后的白内障进展。

背景：巩膜扣带术通常用于修复年轻患者的流变性视网膜脱离（RRD）。因此，关于这部分患者玻璃体切割术（PPV）后白内障形成的数据很有限。我们报告了年轻患者视网膜脱离（RRD）修复 PPV 术后白内障进展的发生率和风险因素：方法：回顾性单中心队列研究。方法：回顾性单中心队列研究，回顾了2014年至2020年期间因无并发症RRD而接受PPV手术的15至45岁患者的病历：26名患者的28只眼睛符合纳入标准。接受 PPV 后，20/28（71%）只眼出现白内障。PPV 后，35 岁以上患者的核硬化性白内障（NSC）发病率（65%）高于 35 岁以下患者（18%）（p = 0.024）。黄斑脱落 RRD 后发生白内障的比例（88%）高于黄斑上 RRD 后发生白内障的比例（50%）（p = 0.044），而 NSC 在黄斑脱落中更为常见（p = 0.020）。在术后第2个月，所有有C3F8气体的眼睛都出现了白内障，而没有气体的眼睛中有59%出现了白内障（p = 0.040）：结论：白内障的形成在 PPV 术后很常见，也很频繁。结论：PPV术后白内障的形成很常见，也很频繁。PPV术后，年轻眼睛和黄斑上脱离发生白内障的频率低于年长眼睛和黄斑下脱离发生白内障的频率。在适当的情况下，应考虑对年轻的眼睛采用作用时间较短的气体填塞法，以尽量减少白内障的形成。

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来源期刊

International Journal of Retina and Vitreous Medicine-Ophthalmology

CiteScore

3.50

自引率

4.30%

发文量

审稿时长

19 weeks

期刊介绍： International Journal of Retina and Vitreous focuses on the ophthalmic subspecialty of vitreoretinal disorders. The journal presents original articles on new approaches to diagnosis, outcomes of clinical trials, innovations in pharmacological therapy and surgical techniques, as well as basic science advances that impact clinical practice. Topical areas include, but are not limited to: -Imaging of the retina, choroid and vitreous -Innovations in optical coherence tomography (OCT) -Small-gauge vitrectomy, retinal detachment, chromovitrectomy -Electroretinography (ERG), microperimetry, other functional tests -Intraocular tumors -Retinal pharmacotherapy & drug delivery -Diabetic retinopathy & other vascular diseases -Age-related macular degeneration (AMD) & other macular entities