Abstract
Purpose :
To report the anatomic and functional outcomes of rhegmatogenous retinal detachment (RRD) repair in patients with congenital or acquired nystagmus.
Methods :
A retrospective review was conducted of the clinical and operative records of eyes with nystagmus and RRD underdoing surgical repair from January 1st, 2015 to April 1st, 2021. The primary outcome was the final attachment rate and single surgery anatomic success (SSAS) three months after initial repair. Secondary outcomes included final visual acuity, and mean number of subsequent operations required for complete retinal reattachment.
Results :
A total of eight eyes with nystagmus including seven male (87.5%) and one female (12.5%) patient were included in this study. The mean age was 52.1 years (range, 14 to 77 years) and the mean follow-up time was 18.6 months (range, 2.8 to 32.9 months).
Four patients underwent primary pars plana vitrectomy (PPV), three underwent primary scleral buckle (SB), and one underwent PPV-SB. Three eyes required a second PPV which were due to new breaks. Two (25.0%) required a third PPV, one of which was for proliferative vitreoretinopathy (PVR). Mean time to first re-detachment was 29 days. Complete final retinal reattachment was achieved in all patients. SSAS was achieved in five patients (62.5%). This consisted of all three patients undergoing a primary SB and half of those undergoing PPV. The final visual acuity improved or stabilized in seven (87.5%) eyes. Two eyes had silicone eye tamponade, one 1000 centistokes and the other 5000 centistokes, on their final visit and there was no evidence of emulsification 253 and 201 days after surgery respectively.
Conclusions :
Repair of RRD in nystagmus is an uncommon but challenging clinical scenario. Single surgery anatomic success in this series was 62.5%. Eyes with nystagmus and long-term silicone oil tamponade did not display silicone oil emulsification with moderate-term follow-up.
This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.