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Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 2/2024

20.10.2023 | Retinal Disorders

Outcomes of vitreoretinal surgery in eyes with retinitis pigmentosa without retinal detachment

verfasst von: Abhishek Upadhyaya, Hardik Kiri, Ramya Natarajan, Saarang Hansraj, Srikanta Kumar Padhy, Brijesh Takkar, Tapas Ranjan Padhi, Subhadra Jalali, Deepika C. Parameswarappa

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 2/2024

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Abstract

Purpose

Outcomes of retinal detachment (RD) have been discussed in detail in many reports of patients with retinitis pigmentosa (RP). This study tries to understand the outcomes of vitreoretinal (VR) surgery for indications other than RD in the eyes with RP.

Methods

This is a retrospective study that includes clinical data from January 2013 to December 2021. Patients with RP who were treated with a VR surgical intervention were included in the study. The primary outcome of the study was to assess the changes in best-corrected visual acuity.

Results

Forty-four eyes of 40 patients with RP were included in the study. Nearly half of the eyes (43%, 19/44) presented from 1 month to 1 year after the onset of diminished vision, with or without floaters. The mean ± standard deviation (SD) best-corrected visual acuity (BCVA) at presentation was 1.30 ± 0.79 logMAR (20/400 ± 20/125). The major surgical indications were vitreous opacities (43.2%, 19/44) and subluxated/dislocated cataractous lenses (25%, 11/44). The median follow-up duration was 8 months (interquartile range (IQR): 1.5–27). Approximately 77% (34/44) of the eyes had improvement in vision. The mean postoperative BCVA at the last follow-up was 0.95 ± 0.73 logMAR (p-value: 0.03).

Conclusions

Most eyes with RP recovered well after VR surgical interventions, with short-term improvements in visual acuity. It may be crucial to address the vitreous opacities and membranes as they hinder the residual central island of vision in RP. However, appropriate counselling is required regarding the progressive nature of retinal neuronal degeneration.
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Metadaten
Titel
Outcomes of vitreoretinal surgery in eyes with retinitis pigmentosa without retinal detachment
verfasst von
Abhishek Upadhyaya
Hardik Kiri
Ramya Natarajan
Saarang Hansraj
Srikanta Kumar Padhy
Brijesh Takkar
Tapas Ranjan Padhi
Subhadra Jalali
Deepika C. Parameswarappa
Publikationsdatum
20.10.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 2/2024
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-023-06274-z

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