Department of Vitreo-retinal Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Department of Glaucoma, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, India.
Indian J Ophthalmol. 2022 Apr;70(4):1287-1293. doi: 10.4103/ijo.IJO_1546_21.
To analyze the incidence of rhegmatogenous retinal detachment (RRD) in patients who have undergone prior Aurolab aqueous drainage implant (AADI) surgery and report outcomes in terms of anatomic, visual acuity, and intraocular pressure (IOP) findings.
Case records of all patients who underwent RRD repair after AADI surgery from 2013 to 2019 were retrospectively analyzed. Data collected included patient demographics, ocular examination findings at all visits including IOP and best-corrected visual acuity (BCVA) and clinical findings related to RRD both at baseline and postoperatively.
Ten eyes of nine patients were included in study. The mean age of patients was 28.2 years (median: 15 years, range: 6-83 years). Mean duration between AADI and RRD was 14 months (median 2.5 months; range 2 days-72 months). All eyes underwent pars plana vitrectomy with silicon oil injection. The preoperative LogMAR BCVA (logarithm of the minimum angle of resolution) was 2.52 ± 0.15 which improved to 2.29 ± 0.58 at final follow-up; however, only one eye had vision ≥ 20/400 largely due to recurrent RRD and advanced glaucomatous disc damage. Postoperatively retina was attached in 6 eyes (60%) and IOP was ≤ 21 mmHg in 5 out of 6 eyes with anatomic success.
The incidence of RRD following AADI was found to be 0.86% in our study. Pars plana vitrectomy (PPV) with silicon oil tamponade was the preferred approach in the management of these eyes with IOP being well controlled post PPV. However, visual acuity outcomes were largely unsatisfactory due to recurrent RRD and preexisting advanced glaucoma.
分析接受过 Aurolab 水性引流植入物（AADI）手术的患者发生孔源性视网膜脱离（RRD）的发生率，并报告解剖学、视力和眼内压（IOP）结果。
回顾性分析了 2013 年至 2019 年期间接受 AADI 手术后行 RRD 修复的所有患者的病历记录。收集的数据包括患者人口统计学资料、所有就诊时的眼部检查结果，包括IOP 和最佳矫正视力（BCVA）以及基线和术后与 RRD 相关的临床发现。
本研究纳入了 9 例患者的 10 只眼。患者的平均年龄为 28.2 岁（中位数：15 岁，范围：6-83 岁）。AADI 和 RRD 之间的平均时间为 14 个月（中位数 2.5 个月；范围 2 天-72 个月）。所有眼均行巩膜外冷凝加玻璃体切除术联合硅油注入。术前 LogMAR BCVA（最小角分辨率对数）为 2.52 ± 0.15，最终随访时改善至 2.29 ± 0.58；然而，仅有 1 只眼视力≥20/400，这主要是由于 RRD 复发和晚期青光眼性视盘损伤。术后 6 只眼（60%）视网膜贴附，6 只眼中有 5 只眼的眼压≤21mmHg，解剖学上获得成功。
在我们的研究中，AADI 后 RRD 的发生率为 0.86%。PPV 联合硅油填充是治疗这些眼的首选方法，术后 IOP 得到很好的控制。然而，由于 RRD 复发和先前存在的晚期青光眼，视力结果大多不理想。
