VITRECTOMY FOR VITREOUS HEMORRHAGE ASSOCIATED WITH RETINAL VEIN OCCLUSION Visual Outcomes, Prognostic Factors, and Sequelae

被引:4
作者
Wakabayashi, Taku [1 ]
Patel, Neil [2 ]
Bough, Matthew [2 ]
Nahar, Ankur [2 ]
Sheng, Young [2 ]
Momenaei, Bita [1 ]
Salabati, Mirataollah [1 ]
Mahmoudzadeh, Raziyeh [1 ]
Kuriyan, Ajay E. [1 ]
Spirn, Marc J. [1 ]
Chiang, Allen [1 ]
Hsu, Jason [1 ]
Fineman, Mitchell S. [1 ]
Regillo, Carl D. [1 ]
Sivalingam, Arunan [1 ]
Ho, Allen C. [1 ]
Gupta, Omesh P. [1 ]
Yonekawa, Yoshihiro [1 ]
机构
[1] Thomas Jefferson Univ, Wills Eye Hosp, Retina Serv, Mid Atlantic Retina, Philadelphia, PA USA
[2] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA USA
来源
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2023年 / 43卷 / 09期
关键词
antivascular endothelial growth factor; branch retinal vein occlusion; central retinal vein occlusion; neovascular glaucoma; pars plana vitrectomy; retina; rhegmatogenous retinal detachment; traction retinal detachment; visual outcomes; vitreous hemorrhage; PARS-PLANA VITRECTOMY; RISK-FACTORS; PANRETINAL PHOTOCOAGULATION; NEOVASCULAR GLAUCOMA; DIABETIC-RETINOPATHY; COMPLICATIONS; BEVACIZUMAB; SURGERY; UPDATE;
D O I
10.1097/IAE.0000000000003839
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To report the outcomes of pars plana vitrectomy for vitreous hemorrhage (VH) associated with retinal vein occlusion and to identify prognostic indicators. Methods: Interventional, retrospective consecutive case series between 2015 and 2021. Results: The study included 138 eyes of 138 patients (64 female and 74 male); 81 patients had branch retinal vein occlusion and 57 had central retinal vein occlusion. The mean age was 69.8 years. The mean duration between the diagnosis of VH and surgery was 79.6 & PLUSMN; 115.3 (range, 1-572) days. The mean follow-up was 27.2 months. The logarithm of the minimum angle of resolution visual acuity significantly improved from 1.95 & PLUSMN; 0.72 (Snellen equivalent, 20/1782) to 0.99 & PLUSMN; 0.87 (20/195) at 6 months and to 1.06 & PLUSMN; 0.96 (20/230) at the final visit (both P < 0.001). The visual acuity at 6 months improved by three or more lines in 103 eyes (75%). Postoperative complications during follow-up included recurrent VH in 16 eyes (12%) (of which 8 eyes underwent reoperations), rhegmatogenous retinal detachment in six eyes (4%), and new neovascular glaucoma in three eyes (2%). Worse final visual acuity was significantly associated with older age (P = 0.007), concurrent neovascular glaucoma (P < 0.001), central retinal vein occlusion (P < 0.001), worse preoperative visual acuity (P < 0.001), postoperative new neovascular glaucoma (P = 0.021), and postoperative retinal detachment (P < 0.001). The duration of VH was not associated with visual outcomes (P = 0.684). Preoperative antivascular endothelial growth factor injections and tamponade did not prevent postoperative recurrent VH. Conclusion: Pars plana vitrectomy is effective for VH associated with retinal vein occlusion, regardless of the duration of hemorrhage. However, pre-existing risk factors and postoperative sequelae may limit visual recovery.
引用
收藏
页码:1506 / 1513
页数:8
相关论文
共 26 条
[1]   Intravitreal Bevacizumab for Prevention of Early Postvitrectomy Hemorrhage in Diabetic Patients A Randomized Clinical Trial [J].
Ahmadieh, Hamid ;
Shoeibi, Nasser ;
Entezari, Morteza ;
Monshizadeh, Ramin .
OPHTHALMOLOGY, 2009, 116 (10) :1943-1948
[2]   The Effect of Adjunctive Intravitreal Bevacizumab for Preventing Postvitrectomy Hemorrhage in Proliferative Diabetic Retinopathy [J].
Ahn, Jeeyun ;
Woo, Se Joon ;
Chung, Hum ;
Park, Kyu Hyung .
OPHTHALMOLOGY, 2011, 118 (11) :2218-2226
[3]   Outcomes of vitreoretinal surgery for complications of branch retinal vein occlusion [J].
Amirikia, A ;
Scott, IU ;
Murray, TG ;
Flynn, HW ;
Smiddy, WE ;
Feuer, WJ .
OPHTHALMOLOGY, 2001, 108 (02) :372-375
[4]   Effect of Intravitreous Aflibercept vs Vitrectomy With Panretinal Photocoagulation on Visual Acuity in Patients With Vitreous Hemorrhage From Proliferative Diabetic Retinopathy: A Randomized Clinical Trial [J].
Antoszyk, Andrew N. ;
Glassman, Adam R. ;
Beaulieu, Wesley T. ;
Jampol, Lee M. ;
Jhaveri, Chirag D. ;
Punjabi, Omar S. ;
Salehi-Had, Hani ;
Wells, John A., III ;
Maguire, Maureen G. ;
Stockdale, Cynthia R. ;
Martin, Daniel F. ;
Sun, Jennifer K. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 324 (23) :2383-2395
[5]   Branch Retinal Vein Occlusion: Treatment Modalities: An Update of the Literature [J].
Chatziralli, Irini P. ;
Jaulim, Adil ;
Peponis, Vasileios G. ;
Mitropoulos, Panagiotis G. ;
Moschos, Marilita M. .
SEMINARS IN OPHTHALMOLOGY, 2014, 29 (02) :85-107
[6]   VITRECTOMY AND PANRETINAL PHOTOCOAGULATION REDUCES THE OCCURRENCE OF NEOVASCULAR GLAUCOMA IN CENTRAL RETINAL VEIN OCCLUSION WITH VITREOUS HEMORRHAGE [J].
Chuang, Lan-Hsin ;
Wang, Nan-Kai ;
Chen, Yen-Po ;
Yeung, Ling ;
Hwang, Yih-Shiou ;
Chen, Kuan-Jen ;
Wu, Wei-Chi ;
Chen, Tun-Lu ;
Lai, Chi-Chun .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2013, 33 (04) :798-802
[7]  
CLARKSON JG, 1995, OPHTHALMOLOGY, V102, P1434
[8]   Insights Into Epiretinal Membranes: Presence of Ectopic Inner Foveal Layers and a New Optical Coherence Tomography. Staging Scheme [J].
Govetto, Andrea ;
Lalane, Robert A., III ;
Sarraf, David ;
Figueroa, Marta S. ;
Hubschman, Jean Pierre .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2017, 175 :99-113
[9]   BRANCH RETINAL VEIN OCCLUSION Epidemiology, Pathogenesis, Risk Factors, Clinical Features, Diagnosis, and Complications. An Update of the Literature [J].
Jaulim, Adil ;
Ahmed, Badia ;
Khanam, Tina ;
Chatziralli, Irini P. .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2013, 33 (05) :901-910
[10]  
JOHNSTON RL, 1985, ARCH OPHTHALMOL-CHIC, V103, P1831