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The outcomes of primary pars plana vitrectomy alone as a first surgical procedure in pediatric rhegmatogenous retinal detachment
Purpose To evaluate the characteristics and analyze the results of patients who underwent pars plana vitrectomy (PPV) as the first surgery due to rhegmatogenous retinal detachment (RRD) in pediatric age. Methods The records of pediatric patients who underwent PPV alone due to RRD were reviewed retro...
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| Published in: | International ophthalmology 2022-11, Vol.42 (11), p.3469-3478 |
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| container_issue | 11 |
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| container_title | International ophthalmology |
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| creator | Kemer Atik, Burcu Erdogan, Gurkan Kirmaci Kabakci, Asli Artunay, Ozgur |
| description | Purpose
To evaluate the characteristics and analyze the results of patients who underwent pars plana vitrectomy (PPV) as the first surgery due to rhegmatogenous retinal detachment (RRD) in pediatric age.
Methods
The records of pediatric patients who underwent PPV alone due to RRD were reviewed retrospectively. The best corrected visual acuity (BCVA) values were recorded before and after the surgery. Complications during and after the operation, postoperative recurrences were followed-up.
Results
One hundred and six patients included in the study were followed-up for an average of 24.20 ± 11.38 months. The final mean BCVA showed a statistically significant improvement compared to the initial mean BCVA (
p
|
| doi_str_mv | 10.1007/s10792-022-02346-x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2665107423</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2665107423</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-2cebf2746e0381e266c98790b03d2d416b4b3ad679e99907c46befdce216e3ca3</originalsourceid><addsrcrecordid>eNp9kUtPxCAUhYnR-P4DLgyJGzdVHi0MS2N8JSZuxjWh9HaGSVtGoEZ3_nTRGR9xYQiBhO-ce7kHoSNKzigh8jxSIhUrCPvYvBTFywbapZXkBROcbP6676C9GBeEECWV2EY7vKokYRXdRW_TOWA_Jut7iNi3eBlcb8IrXpoQ8bIzg8HPLgWwyfev2HR-AGwiNrh1ISYcxzBz1nRZ5y00YwDsBryExpkUnMVhDrPeJD-DwY8RB0huyHQDydh5D0M6QFut6SIcrs999Hh9Nb28Le4fbu4uL-4LyyqRCmahbpksBRA-ocCEsGoiFakJb1hTUlGXNTeNkAqUUkTaUtTQNhYYFcCt4fvodOWbG30aISbdu2ihyz-E3JnOjlWeZ8l4Rk_-oAs_htx2pmReE04nIlNsRdngYwzQ6vXoNCX6Ix-9ykfnfPRnPvoli47X1mPdQ_Mt-QokA3wFxPw0zCD81P7H9h3Rjp4C</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2727283186</pqid></control><display><type>article</type><title>The outcomes of primary pars plana vitrectomy alone as a first surgical procedure in pediatric rhegmatogenous retinal detachment</title><source>Springer Link</source><creator>Kemer Atik, Burcu ; Erdogan, Gurkan ; Kirmaci Kabakci, Asli ; Artunay, Ozgur</creator><creatorcontrib>Kemer Atik, Burcu ; Erdogan, Gurkan ; Kirmaci Kabakci, Asli ; Artunay, Ozgur</creatorcontrib><description>Purpose
To evaluate the characteristics and analyze the results of patients who underwent pars plana vitrectomy (PPV) as the first surgery due to rhegmatogenous retinal detachment (RRD) in pediatric age.
Methods
The records of pediatric patients who underwent PPV alone due to RRD were reviewed retrospectively. The best corrected visual acuity (BCVA) values were recorded before and after the surgery. Complications during and after the operation, postoperative recurrences were followed-up.
Results
One hundred and six patients included in the study were followed-up for an average of 24.20 ± 11.38 months. The final mean BCVA showed a statistically significant improvement compared to the initial mean BCVA (
p
< 0.001). During the postoperative follow-up period, recurrent retinal detachment was seen in 31.1% of patients. Anatomical success was achieved at a rate of 68.9% after the first surgery and increased to 95.3% after repeated operations (in 78.3% without any tamponade). Both anatomical and functional success of patients with proliferative vitreoretinopathy (PVR) grade C or worse and patients with macula-off retinal status were poorer (each
p
value < 0.05). The effect of the etiological factor on anatomical and functional success was not significant (each
p
value > 0.05).
Conclusion
Satisfactory results can be obtained with PPV alone in pediatric RRD. However, it should be noted that postoperative complications and recurrences occur at a high rate and that repeated surgeries are often required. The presence of PVR and macular involvement are seen as negative prognostic factors to the success of surgery.</description><identifier>ISSN: 1573-2630</identifier><identifier>ISSN: 0165-5701</identifier><identifier>EISSN: 1573-2630</identifier><identifier>DOI: 10.1007/s10792-022-02346-x</identifier><identifier>PMID: 35570251</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Acuity ; Complications ; Medicine ; Medicine & Public Health ; Ophthalmology ; Original Paper ; Patients ; Pediatrics ; Postoperative ; Retina ; Retinal detachment ; Statistical analysis ; Success ; Surgery ; Tamponade ; Visual acuity</subject><ispartof>International ophthalmology, 2022-11, Vol.42 (11), p.3469-3478</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer Nature B.V.</rights><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-2cebf2746e0381e266c98790b03d2d416b4b3ad679e99907c46befdce216e3ca3</cites><orcidid>0000-0003-2002-7393 ; 0000-0003-4155-0407 ; 0000-0001-6597-6184 ; 0000-0003-4032-4467</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35570251$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kemer Atik, Burcu</creatorcontrib><creatorcontrib>Erdogan, Gurkan</creatorcontrib><creatorcontrib>Kirmaci Kabakci, Asli</creatorcontrib><creatorcontrib>Artunay, Ozgur</creatorcontrib><title>The outcomes of primary pars plana vitrectomy alone as a first surgical procedure in pediatric rhegmatogenous retinal detachment</title><title>International ophthalmology</title><addtitle>Int Ophthalmol</addtitle><addtitle>Int Ophthalmol</addtitle><description>Purpose
To evaluate the characteristics and analyze the results of patients who underwent pars plana vitrectomy (PPV) as the first surgery due to rhegmatogenous retinal detachment (RRD) in pediatric age.
Methods
The records of pediatric patients who underwent PPV alone due to RRD were reviewed retrospectively. The best corrected visual acuity (BCVA) values were recorded before and after the surgery. Complications during and after the operation, postoperative recurrences were followed-up.
Results
One hundred and six patients included in the study were followed-up for an average of 24.20 ± 11.38 months. The final mean BCVA showed a statistically significant improvement compared to the initial mean BCVA (
p
< 0.001). During the postoperative follow-up period, recurrent retinal detachment was seen in 31.1% of patients. Anatomical success was achieved at a rate of 68.9% after the first surgery and increased to 95.3% after repeated operations (in 78.3% without any tamponade). Both anatomical and functional success of patients with proliferative vitreoretinopathy (PVR) grade C or worse and patients with macula-off retinal status were poorer (each
p
value < 0.05). The effect of the etiological factor on anatomical and functional success was not significant (each
p
value > 0.05).
Conclusion
Satisfactory results can be obtained with PPV alone in pediatric RRD. However, it should be noted that postoperative complications and recurrences occur at a high rate and that repeated surgeries are often required. The presence of PVR and macular involvement are seen as negative prognostic factors to the success of surgery.</description><subject>Acuity</subject><subject>Complications</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Postoperative</subject><subject>Retina</subject><subject>Retinal detachment</subject><subject>Statistical analysis</subject><subject>Success</subject><subject>Surgery</subject><subject>Tamponade</subject><subject>Visual acuity</subject><issn>1573-2630</issn><issn>0165-5701</issn><issn>1573-2630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kUtPxCAUhYnR-P4DLgyJGzdVHi0MS2N8JSZuxjWh9HaGSVtGoEZ3_nTRGR9xYQiBhO-ce7kHoSNKzigh8jxSIhUrCPvYvBTFywbapZXkBROcbP6676C9GBeEECWV2EY7vKokYRXdRW_TOWA_Jut7iNi3eBlcb8IrXpoQ8bIzg8HPLgWwyfev2HR-AGwiNrh1ISYcxzBz1nRZ5y00YwDsBryExpkUnMVhDrPeJD-DwY8RB0huyHQDydh5D0M6QFut6SIcrs999Hh9Nb28Le4fbu4uL-4LyyqRCmahbpksBRA-ocCEsGoiFakJb1hTUlGXNTeNkAqUUkTaUtTQNhYYFcCt4fvodOWbG30aISbdu2ihyz-E3JnOjlWeZ8l4Rk_-oAs_htx2pmReE04nIlNsRdngYwzQ6vXoNCX6Ix-9ykfnfPRnPvoli47X1mPdQ_Mt-QokA3wFxPw0zCD81P7H9h3Rjp4C</recordid><startdate>20221101</startdate><enddate>20221101</enddate><creator>Kemer Atik, Burcu</creator><creator>Erdogan, Gurkan</creator><creator>Kirmaci Kabakci, Asli</creator><creator>Artunay, Ozgur</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2002-7393</orcidid><orcidid>https://orcid.org/0000-0003-4155-0407</orcidid><orcidid>https://orcid.org/0000-0001-6597-6184</orcidid><orcidid>https://orcid.org/0000-0003-4032-4467</orcidid></search><sort><creationdate>20221101</creationdate><title>The outcomes of primary pars plana vitrectomy alone as a first surgical procedure in pediatric rhegmatogenous retinal detachment</title><author>Kemer Atik, Burcu ; Erdogan, Gurkan ; Kirmaci Kabakci, Asli ; Artunay, Ozgur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-2cebf2746e0381e266c98790b03d2d416b4b3ad679e99907c46befdce216e3ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Acuity</topic><topic>Complications</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Postoperative</topic><topic>Retina</topic><topic>Retinal detachment</topic><topic>Statistical analysis</topic><topic>Success</topic><topic>Surgery</topic><topic>Tamponade</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kemer Atik, Burcu</creatorcontrib><creatorcontrib>Erdogan, Gurkan</creatorcontrib><creatorcontrib>Kirmaci Kabakci, Asli</creatorcontrib><creatorcontrib>Artunay, Ozgur</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>International ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kemer Atik, Burcu</au><au>Erdogan, Gurkan</au><au>Kirmaci Kabakci, Asli</au><au>Artunay, Ozgur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The outcomes of primary pars plana vitrectomy alone as a first surgical procedure in pediatric rhegmatogenous retinal detachment</atitle><jtitle>International ophthalmology</jtitle><stitle>Int Ophthalmol</stitle><addtitle>Int Ophthalmol</addtitle><date>2022-11-01</date><risdate>2022</risdate><volume>42</volume><issue>11</issue><spage>3469</spage><epage>3478</epage><pages>3469-3478</pages><issn>1573-2630</issn><issn>0165-5701</issn><eissn>1573-2630</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Purpose
To evaluate the characteristics and analyze the results of patients who underwent pars plana vitrectomy (PPV) as the first surgery due to rhegmatogenous retinal detachment (RRD) in pediatric age.
Methods
The records of pediatric patients who underwent PPV alone due to RRD were reviewed retrospectively. The best corrected visual acuity (BCVA) values were recorded before and after the surgery. Complications during and after the operation, postoperative recurrences were followed-up.
Results
One hundred and six patients included in the study were followed-up for an average of 24.20 ± 11.38 months. The final mean BCVA showed a statistically significant improvement compared to the initial mean BCVA (
p
< 0.001). During the postoperative follow-up period, recurrent retinal detachment was seen in 31.1% of patients. Anatomical success was achieved at a rate of 68.9% after the first surgery and increased to 95.3% after repeated operations (in 78.3% without any tamponade). Both anatomical and functional success of patients with proliferative vitreoretinopathy (PVR) grade C or worse and patients with macula-off retinal status were poorer (each
p
value < 0.05). The effect of the etiological factor on anatomical and functional success was not significant (each
p
value > 0.05).
Conclusion
Satisfactory results can be obtained with PPV alone in pediatric RRD. However, it should be noted that postoperative complications and recurrences occur at a high rate and that repeated surgeries are often required. The presence of PVR and macular involvement are seen as negative prognostic factors to the success of surgery.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>35570251</pmid><doi>10.1007/s10792-022-02346-x</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2002-7393</orcidid><orcidid>https://orcid.org/0000-0003-4155-0407</orcidid><orcidid>https://orcid.org/0000-0001-6597-6184</orcidid><orcidid>https://orcid.org/0000-0003-4032-4467</orcidid></addata></record> |
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| subjects | Acuity Complications Medicine Medicine & Public Health Ophthalmology Original Paper Patients Pediatrics Postoperative Retina Retinal detachment Statistical analysis Success Surgery Tamponade Visual acuity |
| title | The outcomes of primary pars plana vitrectomy alone as a first surgical procedure in pediatric rhegmatogenous retinal detachment |
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