Abstract
Purpose:
To report the outcomes and complications of proliferative sickle retinopathy.
Methods:
Retrospective, interventional case series. Patients were managed with vitreoretinal surgery over a 12-year period at a single institution.
Results:
The study included 15 eyes of 14 patients. Nine patients had an SC hemoglobin profile, 1 was S beta-thal, and 4 were AS. All 15 eyes underwent pars plana vitrectomy (PPV). Indications for surgery included: vitreous hemorrhage (VH), 6 eyes, epiretinal membrane (ERM), 1 eye, and tractional retinal detachment (TRD) and/or rhegmatogenous retinal detachment (RRD), 8 eyes. 20-gauge PPV was used in 7 cases, 23-gauge in 3, and 25-gauge in 5. All 7 eyes with VH or ERM had improved vision postoperatively. Of the eyes with TRD and/or RRD, 4 (50%) developed recurrent detachments associated with proliferative vitreoretinopathy and required a second operation. Additionally, among the patients with retinal detachments, 2 patients had an encircling scleral buckle. All retinas were attached at last follow-up, and visual acuity was 20/400 or better in all eyes. Anterior segment ischemia did not occur.
Conclusions:
Using current vitreoretinal surgery techniques, the anatomic and visual outcomes were favorable, and anterior segment ischemia was avoided. Eyes with TRD/RRD often required a second surgical procedure.
Keywords: 762 vitreoretinal surgery •
697 retinal detachment