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Royce WS Chen, Harry W Flynn, Wen-Hsiang Lee, David W Parke, Ryan F Isom, Janet L Davis, William Smiddy; Outcomes and Complications of Vitreoretinal Surgery in Patients with Proliferative Sickle Retinopathy. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2297.
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© ARVO (1962-2015); The Authors (2016-present)
To report the outcomes and complications of proliferative sickle retinopathy.
Retrospective, interventional case series. Patients were managed with vitreoretinal surgery over a 12-year period at a single institution.
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.
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.
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