TY - JOUR
T1 - Retinal detachment in albinism
AU - Mansour, Ahmad M.
AU - Chhablani, Jay
AU - Arevalo, J. Fernando
AU - Wu, Lihteh
AU - Sharma, Ravi
AU - Sinawat, Suthasinee
AU - Sujirakul, Tharikarn
AU - Assi, Alexandre
AU - Vélez-Vázquez, Wandsy M.
AU - Mansour, Mohamad A.
AU - Kayikcioglu, Ozcan
AU - Kucukerdonmez, Cem
AU - Kal, Ali
N1 - Publisher Copyright:
© 2018 Mansour et al.
PY - 2018/4/5
Y1 - 2018/4/5
N2 - Purpose: To report the visual and anatomic outcomes of albino retinal detachment (ARD) repair. Methods: Collaborative retrospective analysis of ARD. Outcome measures were number of surgical interventions, final retinal reattachment, and best corrected visual acuity (BCVA) at last follow-up. Results: Seventeen eyes of 16 patients (12 males; mean age =37.8 years) had the following complications at presentation: macula off (14), total (7) or inferior detachment (5), proliferative vitreoretinopathy (5), detectable break (16), lattice (5), horseshoe tears (9), and giant tear or dialysis (4). Mean number of interventions was 1.8 (range =1–5) and included cryopexy (15) with scleral buckle (11), and/or vitrectomy (8). Mean initial BCVA was counting finger (CF) 1 m and at last follow-up (mean 77 months) CF4m with mean improvement of 4.5 lines (early treatment diabetic retinopathy study) (P=0.05). Intraoperative choroidal hemorrhage occurred in three eyes. The retina was finally attached in 14 eyes, with residual inferior detachment in three eyes with silicone oil in situ. Silicone oil was kept in six of seven eyes because of residual inferior detachment (3) and removal of silicone oil, which led to redetachment (1) or fear of redetachment (2). Conclusion: Repair of ARD may require several interventions, with the need to keep silicone oil in several cases due to nystagmus and reduced melanin pigment.
AB - Purpose: To report the visual and anatomic outcomes of albino retinal detachment (ARD) repair. Methods: Collaborative retrospective analysis of ARD. Outcome measures were number of surgical interventions, final retinal reattachment, and best corrected visual acuity (BCVA) at last follow-up. Results: Seventeen eyes of 16 patients (12 males; mean age =37.8 years) had the following complications at presentation: macula off (14), total (7) or inferior detachment (5), proliferative vitreoretinopathy (5), detectable break (16), lattice (5), horseshoe tears (9), and giant tear or dialysis (4). Mean number of interventions was 1.8 (range =1–5) and included cryopexy (15) with scleral buckle (11), and/or vitrectomy (8). Mean initial BCVA was counting finger (CF) 1 m and at last follow-up (mean 77 months) CF4m with mean improvement of 4.5 lines (early treatment diabetic retinopathy study) (P=0.05). Intraoperative choroidal hemorrhage occurred in three eyes. The retina was finally attached in 14 eyes, with residual inferior detachment in three eyes with silicone oil in situ. Silicone oil was kept in six of seven eyes because of residual inferior detachment (3) and removal of silicone oil, which led to redetachment (1) or fear of redetachment (2). Conclusion: Repair of ARD may require several interventions, with the need to keep silicone oil in several cases due to nystagmus and reduced melanin pigment.
KW - Cryopexy
KW - Foveal hypoplasia
KW - Nystagmus
KW - Retinal detachment
KW - Scleral buckle
KW - Silicone oil
KW - Vitrectomy
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U2 - 10.2147/OPTH.S158785
DO - 10.2147/OPTH.S158785
M3 - Article
C2 - 29670325
AN - SCOPUS:85045222078
SN - 1177-5467
VL - 12
SP - 651
EP - 656
JO - Clinical Ophthalmology
JF - Clinical Ophthalmology
ER -