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SHR Neuro Cancer Cardio Lipid Metab Microb
Richter-Mueksch, S; Kiss, CG; Radner, W; Binder, S; Velikay-Parel, M.
Proliferative vitreoretinopathy--at what risk is the fellow eye?
Wien Klin Wochenschr. 2004; 116(1-2):32-36
Doi: 10.1007/BF03040421
Web of Science
PubMed
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- Leading authors Med Uni Graz
- Velikay-Parel Michaela
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- Abstract:
- PURPOSE: To find out if patients with proliferative vitreoretinopathy (PVR) due to complicated retinal detachment are at risk to acquire the same disease or other vision-threatening retinal abnormalities in the fellow eye. To furthermore assess in what time-period they appear and if subgroups of patients have special risks. METHODS: 100 consecutive PVR-patients were studied retrospectively. 21 patients with PVR graded lower than C3, traumatic PVR, diabetic retinopathy or congenital vitreoretinal diseases were excluded. Age, gender, best-corrected visual acuity at the first and last visit, refraction, ocular disease in both eyes and observation-time were recorded. RESULTS: After a mean follow-up of 8.5 years, 42 of 79 patients (53.4%) showed vision-threatening abnormalities in their fellow eyes: among them, 9 patients (11.4%) had PVR, 13 (16%) simple retinal detachments and 14 (17.3%) retinal breaks. Abnormalities in the fellow eye did not develop after a certain time following surgery of the primary eye; 71.4% appeared within 5 years. Aphakic and pseudophakic patients had retinal breaks significantly more often (p = 0.011) than phakic patients. Myopia did not increase the risk for any abnormality. Men developed retinal detachment (p = 0.037) and PVR (p = 0.025) significantly more often than women. CONCLUSION: Patients with PVR have a greater than 50% risk of developing vision-threatening retinal abnormalities in their fellow eye. Because of this increased risk, these patients need regularly-scheduled long-term follow-up. SUMMARY STATEMENT: Patients with PVR have a greater than 50% risk of developing vision-threatening retinal abnormalities in their fellow eye and a 37% risk to develop PVR from rhegmatogenous retinal detachment. More than two thirds of abnormalities in the fellow eye developed within five years of surgery of the primary eye.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Comorbidity -
- Female -
- Follow-Up Studies -
- Humans -
- Male -
- Mathematical Computing -
- Middle Aged -
- Postoperative Complications - diagnosis
- Recurrence - diagnosis
- Reoperation - statistics and numerical data
- Retinal Detachment - complications
- Retinal Perforations - complications
- Retrospective Studies - complications
- Risk - complications
- Vitreoretinopathy, Proliferative - diagnosis
- Find related publications in this database (Keywords)
- proliferative vitreoretinopathy
- risk factors
- retinal detachment
- fellow eye
- visual acuity