Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida; and.
Department of Ophthalmology, University of Iowa, Iowa City, Iowa.
Retina. 2024 Sep 1;44(9):1560-1564. doi: 10.1097/IAE.0000000000004156.
To report the clinical features and outcomes in eyes that underwent vitreoretinal surgery for complications of concurrent sickle cell retinopathy and diabetic retinopathy.
Retrospective, consecutive case series of all eyes that underwent vitreoretinal surgery for complications secondary to concurrent sickle cell retinopathy and diabetic retinopathy between January 01, 2014, and December 31, 2021.
The study included 20 eyes of 14 patients. Indications for surgery included tractional retinal detachment in 12 eyes (60%), combined tractional retinal detachment/rhegmatogenous retinal detachment in 6 eyes (30%), and vitreous hemorrhage in 2 eyes (10%). Pars plana vitrectomy was performed in all eyes. One eye received a scleral buckle at the same time as pars plana vitrectomy. There was no change in mean best-corrected visual acuity at the last follow-up examination (1.5 [20/678]) when compared with mean preoperative best-corrected visual acuity (1.6 [20/762], P = 0.83). Preoperative best-corrected visual acuity correlated with postoperative best-corrected visual acuity at the last follow-up examination in eyes with retinal detachment (r = 0.49, P = 0.04). Single operation anatomic success was achieved in 11 of 17 eyes (65%) with retinal detachment.
Functional and anatomic outcomes after surgery in eyes with concurrent sickle cell retinopathy and diabetic retinopathy are relatively poor.
报告同时患有镰状细胞性视网膜病变和糖尿病性视网膜病变并发症的患者接受玻璃体视网膜手术后的临床特征和结局。
回顾性连续病例系列研究，纳入 2014 年 1 月 1 日至 2021 年 12 月 31 日期间因同时患有镰状细胞性视网膜病变和糖尿病性视网膜病变的并发症而接受玻璃体视网膜手术的所有患者的眼。
本研究共纳入 14 例患者的 20 只眼。手术适应证包括 12 只眼（60%）的牵拉性视网膜脱离、6 只眼（30%）的牵拉性视网膜脱离/孔源性视网膜脱离合并、2 只眼（10%）的玻璃体积血。所有眼均行玻璃体切除术，其中 1 只眼同时行巩膜扣带术。与术前最佳矫正视力的平均水平（1.6[20/762]）相比，末次随访时平均最佳矫正视力（1.5[20/678]）没有变化（P=0.83）。术前最佳矫正视力与视网膜脱离眼的末次随访时最佳矫正视力相关（r=0.49，P=0.04）。17 只视网膜脱离眼中，11 只（65%）单眼手术解剖学成功。
同时患有镰状细胞性视网膜病变和糖尿病性视网膜病变的患者手术后的功能和解剖学结局相对较差。
