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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. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To Study the outcomes for management of retinal detachment in eyes with chorioretinal colobomas.
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.
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%.
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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