Drusen Regression after Macula-involving Rhegmatogenous Retinal Detachment Repair.

Q3 Medicine Retinal Cases and Brief Reports Pub Date : 2024-12-31 DOI:10.1097/ICB.0000000000001711

Kyle M Green, Taariq K Mohammed, Jonathan F Russell, Timothy M Boyce

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Abstract

Purpose: To investigate the effect of macula-involving rhegmatogenous retinal detachment (RRD) repair on drusen regression.

Methods: A retrospective review was performed of patients with drusen who underwent macula-involving RRD repair. Longitudinal optical coherence tomography scans were reviewed by three graders, and each case was grouped into one of three categories: drusen regression, drusen persistence, or mixed.

Results: 14 eyes with drusen that underwent macula-involving RRD repair were identified. Surgical repair consisted of pars plana vitrectomy (PPV) in 7 eyes, combined PPV and scleral buckle in 6 eyes, and primary buckle with cryotherapy in 1 eye. Regression of drusen occurred in 6 eyes (43%), persistence of drusen in 5 eyes (36%), and 3 eyes were categorized as mixed (21%). One patient with drusen regression with long-term follow up resulted in geographic atrophy.

Conclusion: Although the course of drusen following repair of macula-involving RRDs was highly variable, roughly half of eyes demonstrated marked drusen regression.

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累及黄斑的孔源性视网膜脱离修复后的Drusen消退。

目的：探讨累及黄斑的孔源性视网膜脱离（RRD）修复对视网膜退化的影响。方法：回顾性分析了接受涉及黄斑的RRD修复的患者。纵向光学相干断层扫描由三个年级的学生进行审查，并将每个病例分为三种类别之一：drusen回归，drusen持续性或混合。结果：确定了14只白内障眼行累及黄斑的RRD修复。手术修复包括玻璃体切除7眼，巩膜扣带联合玻璃体切除6眼，巩膜扣带联合冷冻治疗1眼。6只眼（43%）出现脓肿消退，5只眼（36%）出现脓肿持续，3只眼为混合性（21%）。1例患者长期随访出现脑萎缩。结论：虽然黄斑累及性rrd修复后的疲劳过程变化很大，但大约一半的眼睛表现出明显的疲劳消退。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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