Retinal Detachment Associated with Retinal Dialysis: Clinical Features and Outcomes of Surgery in a 10-Year Study.

PubMed ID: 37379884

Author(s): Rohowetz LJ, Jabbehdari S, Smiddy WE, Berrocal AM, Townsend JH, Chang JS, Flynn HW Jr, Yannuzzi N, Sridhar J, Haddock LJ, Fortun JA; Retinal Dialysis Study Group. Retinal Detachment Associated with Retinal Dialysis: Clinical Features and Outcomes of Surgery in a 10-Year Study. Ophthalmol Retina. 2023 Jun 26:S2468-6530(23)00281-6. doi: 10.1016/j.oret.2023.06.013. Online ahead of print. PMID 37379884

Journal: Ophthalmology. Retina, Jun 2023

PURPOSE To report the surgical approaches and outcomes in patients undergoing surgery for retinal detachment associated with retinal dialysis.

DESIGN Retrospective, consecutive case series.

SUBJECTS All patients who underwent surgery for retinal detachment secondary to retinal dialysis between January 1, 2012, and January 1, 2022.

METHODS Retrospective consecutive case series.

MAIN OUTCOME MEASURES Best-corrected visual acuity (BCVA), single-operation success rate.

RESULTS The study cohort included 60 eyes of 58 patients with a mean age of 26.4 (standard deviation, 13.0) years. Males comprised 49 (84.5%) patients. Known trauma occurred in 35 (61.4%) cases. Initial surgical management included scleral buckling (SB) in 49 (81.7%) eyes and combined SB and pars plana vitrectomy (PPV) in 11 (18.3%) eyes. Preoperative BCVA correlated with BCVA at last follow-up visit (r = 0.66; P < 0.001). At last visit, the SB group had a mean logarithm of the minimum angle of resolution BCVA of 0.36 (20/46) and a single-operation success rate of 76.9% at 6 months, whereas the SB/PPV group had a mean logarithm of the minimum angle of resolution BCVA of 1.08 (20/238) and single-operation success rate of 77.8% (P = 0.04 and P = 0.96, respectively). Six eyes in the SB/PPV group received silicone oil tamponade. In eyes with at least 1 year of follow-up, 4 (14.8%) in the SB group and 6 (100%) in the SB/PPV group developed a visually significant cataract requiring cataract surgery (P < 0.001).

CONCLUSIONS Retinal detachment associated with retinal dialysis is typically associated with trauma and more often occurs in young male patients. The current study confirms that SB without PPV is an effective initial treatment strategy for most patients with retinal dialysis and has a low rate of cataract formation.

FINANCIAL DISCLOSURE(S) Proprietary or commercial disclosure may be found after the references.