Objectives: To evaluate the long-term anatomical and functional prognosis of patients with retinal detachment (RD) secondary to acute retinal necrosis (ARN) treated with pars plana vitrectomy (PPV). Methods: This retrospective case series included 21 eyes from 21 patients with RD secondary to ARN. The study analyzed vitreous or aqueous biopsy results, the impact of antiviral therapy, time to retinal detachment, changes in visual acuity (VA), and anatomical and surgical outcomes. All cases underwent 23-gauge PPV with silicone oil tamponade, and an episcleral encircling band was used in 11 cases. All patients received systemic antiviral therapy at diagnosis. Results: Retinal reattachment was achieved in 91% of cases during follow-up, with an average follow-up period of 39.5 ± 36.8 months. The average time from ARN diagnosis to RD onset was 33.3 ± 27.5 days. VZV was detected in 10 eyes through PCR analysis. Significant differences in visual prognosis were found between macula-off and macula-on RD (p = 0.048). Eyes with optic nerve head inflammation had worse final VA (p = 0.010). No significant difference was observed between preoperative VA and VA at the end of follow-up (p = 0.665). Conclusions: VZV was the primary virus associated with ARN-related RD. Early involvement of the macula and optic nerve in retinitis negatively impacted the final visual prognosis.

Long-term functional outcomes of retinal detachment due to acute retinal necrosis: a case series / Iannetti, Ludovico; Visioli, Giacomo; Alisi, Ludovico; Armentano, Marta; Pia Pirraglia, Maria; Accorinti, Massimo; DI MARTINO, Valerio; Gharbiya, Magda. - In: BIOMEDICINES. - ISSN 2227-9059. - 12:10(2024), pp. 1-10. [10.3390/biomedicines12102320]

Long-term functional outcomes of retinal detachment due to acute retinal necrosis: a case series

Ludovico Iannetti
Primo
Conceptualization
;
Giacomo Visioli
Secondo
Formal Analysis
;
Ludovico Alisi
Writing – Original Draft Preparation
;
Marta Armentano
Writing – Original Draft Preparation
;
Massimo Accorinti
Supervision
;
Valerio Di Martino
Penultimo
Investigation
;
Magda Gharbiya
Ultimo
Writing – Review & Editing
2024

Abstract

Objectives: To evaluate the long-term anatomical and functional prognosis of patients with retinal detachment (RD) secondary to acute retinal necrosis (ARN) treated with pars plana vitrectomy (PPV). Methods: This retrospective case series included 21 eyes from 21 patients with RD secondary to ARN. The study analyzed vitreous or aqueous biopsy results, the impact of antiviral therapy, time to retinal detachment, changes in visual acuity (VA), and anatomical and surgical outcomes. All cases underwent 23-gauge PPV with silicone oil tamponade, and an episcleral encircling band was used in 11 cases. All patients received systemic antiviral therapy at diagnosis. Results: Retinal reattachment was achieved in 91% of cases during follow-up, with an average follow-up period of 39.5 ± 36.8 months. The average time from ARN diagnosis to RD onset was 33.3 ± 27.5 days. VZV was detected in 10 eyes through PCR analysis. Significant differences in visual prognosis were found between macula-off and macula-on RD (p = 0.048). Eyes with optic nerve head inflammation had worse final VA (p = 0.010). No significant difference was observed between preoperative VA and VA at the end of follow-up (p = 0.665). Conclusions: VZV was the primary virus associated with ARN-related RD. Early involvement of the macula and optic nerve in retinitis negatively impacted the final visual prognosis.
2024
acute retinal necrosis; retinal detachment; uveitis; viral retinitis; pars plana vitrectomy; encircling silicone band; herpes viruses
01 Pubblicazione su rivista::01a Articolo in rivista
Long-term functional outcomes of retinal detachment due to acute retinal necrosis: a case series / Iannetti, Ludovico; Visioli, Giacomo; Alisi, Ludovico; Armentano, Marta; Pia Pirraglia, Maria; Accorinti, Massimo; DI MARTINO, Valerio; Gharbiya, Magda. - In: BIOMEDICINES. - ISSN 2227-9059. - 12:10(2024), pp. 1-10. [10.3390/biomedicines12102320]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1722172
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