September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Outcome of Management of Retinal Detachment in Eyes with Chorioretinal Coloboma: The Results of the KKESH International Collaborative Retina Study Group
Author Affiliations & Notes
  • Sulaiman Mohammad Alsulaiman
    Vitreoretinal division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
  • Marwan Abouammoh
    ophthalmology, king saud university, Riyadh, Saudi Arabia
  • Vishali S Gupta
    Department of Ophthalmology, Advanced Eye Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  • Afnan Younis
    4Department of Family and Community Medicine, king saud university, Riyadh, Saudi Arabia
  • Jay Chabalani
    Smt. Kanuri Santhamma Retina Vitreous Centre, L.V. Prasad Eye Institute, Hyderabad, India
  • Antonio M B Casella
    ophthalmology, Universidade Estadual de Londrina, Londrina, Brazil
  • alay S banker
    Banker's Retina Clinic and Laser Centre, Gujarat, India
  • J Fernando Arevalo
    Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States
  • Footnotes
    Commercial Relationships   Sulaiman Alsulaiman, None; Marwan Abouammoh, None; Vishali Gupta, None; Afnan Younis, None; Jay Chabalani, None; Antonio Casella, None; alay banker, None; J Fernando Arevalo, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1040. doi:
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      Sulaiman Mohammad Alsulaiman, Marwan Abouammoh, Vishali S Gupta, Afnan Younis, Jay Chabalani, Antonio M B Casella, alay S banker, J Fernando Arevalo; Outcome of Management of Retinal Detachment in Eyes with Chorioretinal Coloboma: The Results of the KKESH International Collaborative Retina Study Group. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1040.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To Study the outcomes for management of retinal detachment in eyes with chorioretinal colobomas.

Methods : A multicenter retrospective review of 119 patients with chorioretinal colobomas who underwent surgery for rhegmatogenous retinal detachment. Patients with a retinal break or a hole within the normal retinal tissue and retinal detachment not involving the coloboma were excluded. Depending on the intraoperative situation, additional procedures performed during pars plana vitrectomy (PPV) included pars plana lensectomy (PPL), epiretinal membrane (ERM) peeling, and use of encircling band. This was followed by fluid–air exchange, gas tamponade with 25% sulfur hexafluoride or 15% octafluoropropane, or silicone oil injection.

Results : 119 eyes of 119 consecutive patients (83; 69.7% male and 36; 29.3% female) with a mean (±SD) age of 20.3 (±11.6) years were identified. The most common location for the primary retinal break was the intercalary membrane in 58.8%. Most frequent surgical intervention was vitrectomy with endolaser and silicone oil tamponade (77.3%). Final retinal attachment rate was 87.4%.

Conclusions : Pars plana vitrectomy with long-acting tamponade and retinopexy to the edge of the coloboma and the primary breaks is the best management option for retinal detachment in eyes with chorioretinal colobomas. Encircling band does not seem to affect the final anatomic outcome.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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