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

被引:1
|
作者
Kasetty, Venkatkrish M. [1 ]
Monsalve, Pedro F. [1 ,2 ]
Sethi, Dhruv [1 ]
Yousif, Candice [1 ]
Hessburg, Thomas [1 ]
Kumar, Nitin [1 ]
Hamad, Abdualrahman E. [1 ]
Desai, Uday R. [1 ]
机构
[1] Henry Ford Hlth Syst, Dept Ophthalmol, Detroit, MI 48202 USA
[2] Univ Minnesota, Dept Ophthalmol, Minneapolis, MN USA
关键词
Rhegmatogenous retinal detachment; Vitrectomy; Cataract; INTRAVITREAL TRIAMCINOLONE; AGE; OUTCOMES; DURATION; REPAIR; C3F8; LENS; GAS; SF6;
D O I
10.1186/s40942-024-00538-4
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
BackgroundScleral 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.MethodsRetrospective 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.ResultsTwenty-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).ConclusionsCataract 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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页数:7
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