RESULTS OF RETINAL DETACHMENT SURGERY IN EYES WITH OSTEO-KERATOPROSTHESIS. Issue 12 (December 2018)

• Record Type: Journal Article
• Authors: Vilaplana, Ferran; Nadal, Jeroni; Temprano, José; Julio, Gemma; Barraquer, Rafael I.
• Is Part Of: Retina. Volume 38:Issue 12(2018)
• Publication Date: 2018-12
• Subjects: keratoplasty -- keratoprosthesis -- retinal detachment -- vitreoretinal proliferation -- choroidal detachment -- pars plana vitrectomy -- retinal redetachment -- retroprosthetic membrane -- papillary atrophy -- glaucoma; Retina -- Diseases -- Periodicals; Retinal Diseases; Vitreous Body; 617.735
• DOI: 10.1097/IAE.0000000000001865
• Languages: English
• ISSNs: 0275-004X

Abstract

Abstract : Purpose: To evaluate the anatomical and functional results of pars plana vitrectomy in eyes with osteo-keratoprosthesis, who have suffered retinal detachment. Methods: An observational, retrospective study of 18 eyes which underwent pars plana vitrectomy for retinal detachment after an implantation of an osteo-keratoprosthesis, with a minimum of 1-year follow-up. A descriptive study and a Kaplan–Meier survival analysis for anatomical and functional success were performed. Anatomical success was defined as an attached retina at the end of vitreoretinal surgery with no redetachment during the follow-up. Functional success was defined as a postoperative visual acuity of more than or equal to 20/400. Results: The overall rate of anatomical success was 56%, and the anatomical survival rates were 67% and 53% at 6 months and 12 months, respectively, maintaining this last value at 24 months after pars plana vitrectomy. The overall rate of functional success was 17%, and the functional survival rates were 83%, 39%, and 14% at 6 months, 12 months, and 24 months after pars plana vitrectomy, respectively. The most frequent complication after retinal surgery was retroprosthetic membrane (33%). Conclusion: Despite the reserved prognosis and the severe complications, vitrectomy represents a valid method for treating retinal detachment in patients with osteo-keratoprosthesis, with good anatomical results but poor visual acuity. Abstract : The functional and anatomical results of retinal detachment surgery performed on patients with osteo-keratoprosthesis was evaluated using the Kaplan–Meier survival analysis. The most frequent complication was retroprosthetic membrane. Vitrectomy represents a valid method with good anatomical results but poor visual acuity, both in the medium and long terms.