TY - JOUR
T1 - Influence of Postoperative Lens Status on Intraocular Pressure in Proliferative Vitreoretinopathy
AU - Tseng, Joseph J.
AU - Schiff, William M.
AU - Barile, Gaetano R.
AU - Biscette, O'Neil
AU - Williams, Steven L.
AU - Cekic, Osman
AU - Dhrami-Gavazi, Elona
AU - Chang, Stanley
N1 - Funding Information:
This study was supported by the Eye Surgery Fund, New York, New York; the Mebane Charitable Foundation, Mocksville, North Carolina; and the Doris Duke Charitable Foundation, New York, New York. The authors indicate no financial conflict of interest. Involved in concept and design of study (J.J.T., W.M.S., G.R.B., S.C.); analysis and interpretation of data (J.J.T., W.M.S., G.R.B., S.C.); writing the article (J.J.T., W.M.S., G.R.B.); critical revision of the article (J.J.T., W.M.S., G.R.B., S.C.); final approval of the article (J.J.T., W.M.S., G.R.B., S.C.); data collection (J.J.T., W.M.S., G.R.B., O.B., S.L.W., O.C.); provision of materials, patients, or resources (W.M.S., G.R.B., E.D.G., S.C.); statistical expertise (J.J.T., W.M.S., G.R.B.); obtaining funding (G.R.B., W.M.S., E.D.G., S.C.); literature search (J.J.T., O.C.); and administrative, technical, or logistic support (J.J.T., W.M.S., G.R.B., S.C.). This study was approved by the Columbia University Medical Center Institutional Review Board.
PY - 2009/5
Y1 - 2009/5
N2 - Purpose: To determine the influence of lens status on postoperative intraocular pressure (IOP) in eyes undergoing vitrectomy for repair of recurrent retinal detachment (RD) resulting from proliferative vitreoretinopathy (PVR). Design: Retrospective, consecutive, nonrandomized, single-center series. Methods: One hundred and forty-five eyes with recurrent RD resulting from PVR were reviewed retrospectively. In all, 99 eyes underwent relaxing retinotomy at the time of surgery (68.4%). Perfluorocarbon gas (n = 60) or silicone oil (n = 85) were used as postoperative tamponades. For analysis, eyes were subdivided first based on tamponade and retinotomy status. The resultant groups then were divided further by lens status into 2 groups: aphakic eyes (aphakic group) and phakic and pseudophakic eyes (nonaphakic group). Results: Surgical reattachment was achieved in all eyes except one. Eyes receiving both silicone oil and relaxing retinotomy had the worst baseline characteristics compared with those receiving other interventions. In this subset of eyes, a significantly lower proportion of hypotony was found in those eyes that were aphakic after surgery when compared with those eyes that were nonaphakic (P = .037). Conclusions: Surgical management of PVR often results in ultimate retinal reattachment. In eyes receiving both relaxing retinotomy and silicone oil, higher IOPs and a lower proportion of hypotony are found where a native lens or intraocular implant is absent. Removal of the lens or intraocular implant may be considered for those eyes at greatest risk of hypotony.
AB - Purpose: To determine the influence of lens status on postoperative intraocular pressure (IOP) in eyes undergoing vitrectomy for repair of recurrent retinal detachment (RD) resulting from proliferative vitreoretinopathy (PVR). Design: Retrospective, consecutive, nonrandomized, single-center series. Methods: One hundred and forty-five eyes with recurrent RD resulting from PVR were reviewed retrospectively. In all, 99 eyes underwent relaxing retinotomy at the time of surgery (68.4%). Perfluorocarbon gas (n = 60) or silicone oil (n = 85) were used as postoperative tamponades. For analysis, eyes were subdivided first based on tamponade and retinotomy status. The resultant groups then were divided further by lens status into 2 groups: aphakic eyes (aphakic group) and phakic and pseudophakic eyes (nonaphakic group). Results: Surgical reattachment was achieved in all eyes except one. Eyes receiving both silicone oil and relaxing retinotomy had the worst baseline characteristics compared with those receiving other interventions. In this subset of eyes, a significantly lower proportion of hypotony was found in those eyes that were aphakic after surgery when compared with those eyes that were nonaphakic (P = .037). Conclusions: Surgical management of PVR often results in ultimate retinal reattachment. In eyes receiving both relaxing retinotomy and silicone oil, higher IOPs and a lower proportion of hypotony are found where a native lens or intraocular implant is absent. Removal of the lens or intraocular implant may be considered for those eyes at greatest risk of hypotony.
UR - http://www.scopus.com/inward/record.url?scp=64449087891&partnerID=8YFLogxK
U2 - 10.1016/j.ajo.2008.10.021
DO - 10.1016/j.ajo.2008.10.021
M3 - Article
C2 - 19193362
AN - SCOPUS:64449087891
SN - 0002-9394
VL - 147
SP - 875-885.e2
JO - American Journal of Ophthalmology
JF - American Journal of Ophthalmology
IS - 5
ER -