Visual and Anatomic Outcomes of Vitreoretinal Surgery: Results at the Boston VA and a Review of the Literature

Overview

Journal Digit J Ophthalmol

Specialty Ophthalmology

Date 2017 Dec 26

PMID 29276456

Authors

Nicole C Hanley-Williams

Manju L Subramanian

Edward B Feinberg

Affiliations

Soon will be listed here.

Abstract

Introduction: The veteran population presents unique challenges in the management of vitreoretinal disorders. We compiled the surgical outcomes for the most common visually significant vitreoretinal diagnoses. Those results were then compared to visual and anatomic outcomes established in the literature.

Materials And Methods: Medical records over a three-year time period, from January 2005 through December 2007, were reviewed for 208 persons who underwent vitreoretinal surgery for vitreous hemorrhage, retained lens fragment, rhegmatogenous and tractional retinal detachment, macular hole, and macular pucker at the Jamaica Plain Campus of the Veterans Affairs Boston Healthcare System in Boston, MA. A comprehensive search of the literature was conducted on Medline. Data from several large case series and meta-analyses were compared to results obtained at the VA Boston.

Results: A total of 208 veterans underwent vitreoretinal surgery from January 2005 to December 2007. After excluding those with rare diagnoses and lack of adequate follow-up data, the outcomes of 181 vitreoretinal procedures were included in this study.

Discussion: Overall, veterans at a regional referral center in Boston demonstrate postoperative visual and anatomic outcomes comparable to outcomes reported in the ophthalmic literature.

References

Holladay J . Proper method for calculating average visual acuity. J Refract Surg. 1997; 13(4):388-91. DOI: 10.3928/1081-597X-19970701-16. View

Scott I, Flynn Jr H, Smiddy W, Murray T, Moore J, Lemus D . Clinical features and outcomes of pars plana vitrectomy in patients with retained lens fragments. Ophthalmology. 2003; 110(8):1567-72. DOI: 10.1016/S0161-6420(03)00488-3. View

Kang H, Chang A, Beaumont P . The macular hole: report of an Australian surgical series and meta-analysis of the literature. Clin Exp Ophthalmol. 2000; 28(4):298-308. DOI: 10.1046/j.1442-9071.2000.00329.x. View

Kempen J, OColmain B, Leske M, Haffner S, Klein R, Moss S . The prevalence of diabetic retinopathy among adults in the United States. Arch Ophthalmol. 2004; 122(4):552-63. DOI: 10.1001/archopht.122.4.552. View

Ranta P, Kivela T . Functional and anatomic outcome of retinal detachment surgery in pseudophakic eyes. Ophthalmology. 2002; 109(8):1432-40. DOI: 10.1016/s0161-6420(02)01111-9. View

Benson W, Cruickshanks K, Fong D, Williams G, Bloome M, Frambach D . Surgical management of macular holes: a report by the American Academy of Ophthalmology. Ophthalmology. 2001; 108(7):1328-35. DOI: 10.1016/s0161-6420(01)00731-x. View

Tseng W, Cortez R, Ramirez G, Stinnett S, Jaffe G . Prevalence and risk factors for proliferative vitreoretinopathy in eyes with rhegmatogenous retinal detachment but no previous vitreoretinal surgery. Am J Ophthalmol. 2004; 137(6):1105-15. DOI: 10.1016/j.ajo.2004.02.008. View

Saw S, Gazzard G, Wagle A, Lim J, Eong K . An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment. Acta Ophthalmol Scand. 2006; 84(5):606-12. DOI: 10.1111/j.1600-0420.2006.00715.x. View

Frau E, Sam H, Korobelnik J, Chauvaud D . Retinal detachment after cataract surgery: retrospective study of 57 cases. Eur J Ophthalmol. 1993; 3(4):177-80. DOI: 10.1177/112067219300300401. View

10.

Sheard R, Sethi C, Gregor Z . Acute macular pucker. Ophthalmology. 2003; 110(6):1178-84. DOI: 10.1016/S0161-6420(03)00266-5. View

11.

Tornambe P . Pneumatic retinopexy: the evolution of case selection and surgical technique. A twelve-year study of 302 eyes. Trans Am Ophthalmol Soc. 1997; 95:551-78. PMC: 1298375. View

12.

Girard P, Karpouzas I . Pseudophakic retinal detachment: anatomic and visual results. Graefes Arch Clin Exp Ophthalmol. 1995; 233(6):324-30. DOI: 10.1007/BF00200480. View

13.

Jaycock P, Bunce C, Xing W, Thomas D, Poon W, Gazzard G . Outcomes of macular hole surgery: implications for surgical management and clinical governance. Eye (Lond). 2004; 19(8):879-84. DOI: 10.1038/sj.eye.6701679. View

14.

Koizumi H, Spaide R, Fisher Y, Freund K, Klancnik Jr J, Yannuzzi L . Three-dimensional evaluation of vitreomacular traction and epiretinal membrane using spectral-domain optical coherence tomography. Am J Ophthalmol. 2008; 145(3):509-517. DOI: 10.1016/j.ajo.2007.10.014. View

15.

Orcutt J, Avakian A, Koepsell T, Maynard C . Eye disease in veterans with diabetes. Diabetes Care. 2004; 27 Suppl 2:B50-3. DOI: 10.2337/diacare.27.suppl_2.b50. View

16.

La Heij E, Derhaag P, Hendrikse F . Results of scleral buckling operations in primary rhegmatogenous retinal detachment. Doc Ophthalmol. 2000; 100(1):17-25. DOI: 10.1023/a:1001733602965. View

17.

Chen C, Wang T, Cheng J, Tai M, Lu D, Chen J . Immediate pars plana vitrectomy improves outcome in retained intravitreal lens fragments after phacoemulsification. Ophthalmologica. 2008; 222(4):277-83. DOI: 10.1159/000139953. View

18.

Arya A, Emerson J, Engelbert M, Hagedorn C, Adelman R . Surgical management of pseudophakic retinal detachments: a meta-analysis. Ophthalmology. 2006; 113(10):1724-33. DOI: 10.1016/j.ophtha.2006.05.044. View

19.

Merani R, Hunyor A, Playfair T, Chang A, Gregory-Roberts J, Hunyor A . Pars plana vitrectomy for the management of retained lens material after cataract surgery. Am J Ophthalmol. 2007; 144(3):364-70. DOI: 10.1016/j.ajo.2007.05.027. View

20.

Tari S, Vidne-Hay O, Greenstein V, Barile G, Hood D, Chang S . Functional and structural measurements for the assessment of internal limiting membrane peeling in idiopathic macular pucker. Retina. 2007; 27(5):567-72. DOI: 10.1097/IAE.0b013e31802ea53d. View