Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Aug 27;14(1):19943.
doi: 10.1038/s41598-024-70898-2.

Characteristics and surgical outcomes of giant retinal tear associated rhegmatogenous retinal detachment

Janejit Choovuthayakorn  1 , Pongthep Rajsirisongsri  2 , Direk Patikulsila  2 , Onnisa Nanegrungsunk  2 , Voraporn Chaikitmongkol  2 , Sutheerada Seetasut  2 , Yaowaret Tantivit  2 , Napatsorn Krisanuruks  2 , Apisara Sangkaew  2 , Pavinee Tangkitchot  2 , Atitaya Apivatthakakul  2 , Paradee Kunavisarut  2
Affiliations

Characteristics and surgical outcomes of giant retinal tear associated rhegmatogenous retinal detachment

Janejit Choovuthayakorn et al. Sci Rep. .

Abstract

Giant retinal tear-associated rhegmatogenous retinal detachment (GRT-RRD) presents a significant surgical challenge. Trauma stands out as one of the risk factors. This retrospective case series aims to assess the outcomes of GRT-RRD patients treated with pars plana vitrectomy (PPV), distinguishing between non-trauma and blunt ocular trauma cases. The medical records and relevant retinal imaging of 60 GRT-RRD patients undergoing PPV and followed with a mean (SD) of 21.2 (13.4) months were reviewed (47 were non-trauma-related and 13 were trauma-related). Both the non-trauma and trauma groups exhibited comparable distribution of proliferative vitreoretinopathy grade (P = 0.067). Following the primary operation, there was no statistically significant difference in the proportion of patients achieving single surgery anatomical success between the non-trauma group (27/47 patients, 57.5%) and the trauma-related group (9/13 patients, 69.2%) (P = 0.534). At the final follow-up, 17 patients remained tamponade with silicone oil. Among the remaining 43 patients, 33/34 patients (97.1%) in the non-trauma group and 9/9 patients (100%) in the non-trauma group (P = 0.661) achieved comparable final surgical anatomical success. Additionally the final vision was comparable between the two trauma categories (Snellen equivalent of 20/125 for the non-trauma group and 20/200 for the trauma group, P = 0.331). In multivariable regression, no significant factors related to primary reattachment rate or final vision were identified. Non-penetrating ocular trauma did not emerge as a significant risk factor for recurrent detachment post-surgery. This study supports that PPV outcomes in GRT-RRD patients are unaffected by the ocular trauma association and reports the effectiveness of PPV in managing these patients.

Keywords: Anatomical outcomes; Blunt ocular trauma; Giant retinal tear; Pars plana vitrectomy; Rhegmatogenous retinal detachment; SSAS; Trauma; Visual outcomes.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Distribution of final anatomical outcomes by trauma categories.
Fig. 2
Fig. 2
Distribution of final vision by trauma categories.
Fig. 3
Fig. 3
Distribution of final vision changes by trauma categories.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Shunmugam, M., Ang, G. S. & Lois, N. Giant retinal tears. Surv. Ophthalmol.59, 192–216 (2014). 10.1016/j.survophthal.2013.03.006 - DOI - PubMed
    1. Ang, G. S., Townend, J. & Lois, N. Epidemiology of giant retinal tears in the United Kingdom: The British Giant retinal tear epidemiology eye study (BGEES). Invest. Ophthalmol. Vis. Sci.51, 4781–4787 (2010). 10.1167/iovs.09-5036 - DOI - PubMed
    1. Mitry, D. et al. The predisposing pathology and clinical characteristics in the Scottish retinal detachment study. Ophthalmology118, 1429–1434 (2011). 10.1016/j.ophtha.2010.11.031 - DOI - PubMed
    1. Lee, S. Y., Ong, S. G., Wong, D. W. & Ang, C. L. Giant retinal tear management: An Asian experience. Eye (Lond)23, 601–605 (2009). 10.1038/eye.2008.48 - DOI - PubMed
    1. Kunikata, H., Abe, T. & Nishida, K. Successful outcomes of 25- and 23-gauge vitrectomies for giant retinal tear detachments. Ophthalmic Surg. Lasers Imaging42, 487–492 (2011). 10.3928/15428877-20110901-01 - DOI - PubMed