Long-Term Surgical Outcomes of Retinal Detachment Associated With Acute Retinal Necrosis.

PubMed ID: 27434898

Author(s): Kopplin LJ, Thomas AS, Cramer S, Kim YH, Yeh S, Lauer AK, Flaxel CJ. Long-term surgical outcomes of retinal detachment associated with acute retinal necrosis. Ophthalmic Surg Lasers Imaging Retina. 2016 Jul 1;47(7):660-4. doi: 10.3928/23258160-20160707-08. PMID 27434898

Journal: Ophthalmic Surgery, Lasers & Imaging Retina, Volume 47, Issue 7, Jul 2016

BACKGROUND AND OBJECTIVE To determine the long-term visual and surgical outcomes of patients with acute retinal necrosis (ARN) associated retinal detachment (RD).

PATIENTS AND METHODS The authors conducted a single-center, retrospective chart review from 2001 to 2012 of 32 eyes from 27 patients diagnosed with ARN. The authors assessed the rates and risk factors for recurrent RD in eyes having undergone primary RD repair for ARN-related RD.

RESULTS Fifteen eyes (46.9%) developed RD and 13 underwent surgical repair. Recurrent RD developed in six eyes (46.2%), occurring 35 days to 10 months after primary retinal surgery. There was no difference in the rate of recurrent RD between eyes treated with or without intravitreal foscarnet (P = .48) or initial scleral buckle (P = .31). Six eyes (46.2%) developed severe vision loss, with a final Snellen visual acuity of less than 20/200.

CONCLUSION Recurrent RD after primary repair is a frequent complication of ARN. Overall, visual prognosis is guarded despite surgical intervention. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:660-664.].