Retinectomy for treatment of intractable XXXX : long term results.

@entity1 @entity2194 @entity1715 @entity989 @entity1713 @entity4118 @entity2994 @entity1596 @entity726 @entity4243 @entity1346 @entity38096 @entity2297 @entity1907
AIM: To report long term efficacy and complications of retinectomy as an intraocular pressure lowering procedure for intractable @entity726 . METHODS: This was a consecutive interventional case series. In 44 consecutive eyes (39 @entity1 , 22 @entity1 and 17 @entity1 ) retinectomy was performed to lower the intraocular pressure (IOP) in @entity1 with uncontrolled IOP (>35 mm Hg for more than 4 months) despite conventional filtering surgery and drug treatment. Pars plana vitrectomy was performed and the peripheral retina was surgically excised to various degrees. The procedure was concluded by an intraocular gas tamponade of 20% @entity38096 . Included were @entity1 with @entity2297 (12 eyes), @entity726 (three eyes), @entity726 due to @entity4118 (13 eyes), severe @entity2194 (seven eyes), @entity1596 (seven eyes), and @entity726 in @entity4243 (two). RESULTS: All @entity1 underwent successful surgical retinectomy. All @entity1 were followed for 5 years. Mean postoperative IOP after 4 years was 15.7 (SD 9.4) mm Hg, representing a decrease of IOP by 61% compared to the preoperative level (41.2 (9.4) mm Hg). In 52.3% of eyes long term regulation of IOP could be achieved without complications. Retinectomy was least effective in @entity2297 because of central @entity2994 (CRVO). Eyes with @entity726 secondary to @entity1596 showed a tendency towards low IOP levels with subsequent @entity1907 bulbi. The initial visual acuity of all @entity1 was lower than 20/50 (mean 1.8 (0.8) logMAR) in the treated eye. Final visual acuity was 2.3 (0.6) logMAR. 21 out of 44 cases developed @entity989 ( @entity1713 or proliferative @entity1715 (PVR)) after surgery, requiring @entity1346 tamponade in 11 eyes (52%) either for persistent low IOP or for PVR. Nine eyes developed @entity1907 , seven of which were enucleated during the follow up. CONCLUSIONS: Long term results after retinectomy demonstrate its efficacy in otherwise intractable @entity726 . Efficacy and safety of retinectomy are dependent on the underlying disease.
