Surgical Treatment of Retinal Detachment Following Acute Retinal Necrosis Syndrome

Surgical Results in Four Patients

Chiun H. Hou, San N. Chen, Jau D. Ho, Cheng Lien Ho

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Acute retinal necrosis (ARN) syndrome is an uncommon but severe ocular disease that typically affects otherwise healthy individuals. It is frequently complicated with retinal detachment and the visual prognosis in such patients is usually poor. Methods: We operated on four eyes in four patients from 1999 through 2001. Three ophthalmologists in our hospital did these operations, respectively. The surgical methods included pars plana vitrectomy, lensectomy, encircling scleral buckling combined with membrane dissection, air-fluid exchange, endolaser photocoagulation, and retinal tamponade with silicone oil or perfluoropropane gas. Results: Three patients received one operation and the other one needed a second operation to release the retinal traction. One patient needed a lensectomy at the time of vitrectomy. Macular attachment was achieved in all four eyes (100%). Vision improved in two patients but none achieved visual acuity better than 20/200. The complications were cataract in three patients, macular pucker in three, and silicone keratopathy in one. Conclusion: Our results suggest that modern vitrectomy techniques provide a very high retinal attachment rate in patients with retinal detachment following ARN syndrome.

Original languageEnglish
Pages (from-to)835-842
Number of pages8
JournalChang Gung Medical Journal
Volume26
Issue number11
Publication statusPublished - Nov 2003
Externally publishedYes

Fingerprint

Acute Retinal Necrosis Syndrome
Retinal Detachment
Vitrectomy
perflutren
Therapeutics
Scleral Buckling
Silicone Oils
Temazepam
Eye Diseases
Light Coagulation
Traction
Silicones
Cataract
Visual Acuity
Dissection
Gases
Air
Membranes

Keywords

  • Acute retinal necrosis syndrome
  • Retinitis
  • Uveitis
  • Vitrectomy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Surgical Treatment of Retinal Detachment Following Acute Retinal Necrosis Syndrome : Surgical Results in Four Patients. / Hou, Chiun H.; Chen, San N.; Ho, Jau D.; Ho, Cheng Lien.

In: Chang Gung Medical Journal, Vol. 26, No. 11, 11.2003, p. 835-842.

Research output: Contribution to journalArticle

@article{041cd342db16477dbdd6843997d0227e,
title = "Surgical Treatment of Retinal Detachment Following Acute Retinal Necrosis Syndrome: Surgical Results in Four Patients",
abstract = "Background: Acute retinal necrosis (ARN) syndrome is an uncommon but severe ocular disease that typically affects otherwise healthy individuals. It is frequently complicated with retinal detachment and the visual prognosis in such patients is usually poor. Methods: We operated on four eyes in four patients from 1999 through 2001. Three ophthalmologists in our hospital did these operations, respectively. The surgical methods included pars plana vitrectomy, lensectomy, encircling scleral buckling combined with membrane dissection, air-fluid exchange, endolaser photocoagulation, and retinal tamponade with silicone oil or perfluoropropane gas. Results: Three patients received one operation and the other one needed a second operation to release the retinal traction. One patient needed a lensectomy at the time of vitrectomy. Macular attachment was achieved in all four eyes (100{\%}). Vision improved in two patients but none achieved visual acuity better than 20/200. The complications were cataract in three patients, macular pucker in three, and silicone keratopathy in one. Conclusion: Our results suggest that modern vitrectomy techniques provide a very high retinal attachment rate in patients with retinal detachment following ARN syndrome.",
keywords = "Acute retinal necrosis syndrome, Retinitis, Uveitis, Vitrectomy",
author = "Hou, {Chiun H.} and Chen, {San N.} and Ho, {Jau D.} and Ho, {Cheng Lien}",
year = "2003",
month = "11",
language = "English",
volume = "26",
pages = "835--842",
journal = "Chang Gung Medical Journal",
issn = "0255-8270",
publisher = "Chang Gung Medical Journal",
number = "11",

}

TY - JOUR

T1 - Surgical Treatment of Retinal Detachment Following Acute Retinal Necrosis Syndrome

T2 - Surgical Results in Four Patients

AU - Hou, Chiun H.

AU - Chen, San N.

AU - Ho, Jau D.

AU - Ho, Cheng Lien

PY - 2003/11

Y1 - 2003/11

N2 - Background: Acute retinal necrosis (ARN) syndrome is an uncommon but severe ocular disease that typically affects otherwise healthy individuals. It is frequently complicated with retinal detachment and the visual prognosis in such patients is usually poor. Methods: We operated on four eyes in four patients from 1999 through 2001. Three ophthalmologists in our hospital did these operations, respectively. The surgical methods included pars plana vitrectomy, lensectomy, encircling scleral buckling combined with membrane dissection, air-fluid exchange, endolaser photocoagulation, and retinal tamponade with silicone oil or perfluoropropane gas. Results: Three patients received one operation and the other one needed a second operation to release the retinal traction. One patient needed a lensectomy at the time of vitrectomy. Macular attachment was achieved in all four eyes (100%). Vision improved in two patients but none achieved visual acuity better than 20/200. The complications were cataract in three patients, macular pucker in three, and silicone keratopathy in one. Conclusion: Our results suggest that modern vitrectomy techniques provide a very high retinal attachment rate in patients with retinal detachment following ARN syndrome.

AB - Background: Acute retinal necrosis (ARN) syndrome is an uncommon but severe ocular disease that typically affects otherwise healthy individuals. It is frequently complicated with retinal detachment and the visual prognosis in such patients is usually poor. Methods: We operated on four eyes in four patients from 1999 through 2001. Three ophthalmologists in our hospital did these operations, respectively. The surgical methods included pars plana vitrectomy, lensectomy, encircling scleral buckling combined with membrane dissection, air-fluid exchange, endolaser photocoagulation, and retinal tamponade with silicone oil or perfluoropropane gas. Results: Three patients received one operation and the other one needed a second operation to release the retinal traction. One patient needed a lensectomy at the time of vitrectomy. Macular attachment was achieved in all four eyes (100%). Vision improved in two patients but none achieved visual acuity better than 20/200. The complications were cataract in three patients, macular pucker in three, and silicone keratopathy in one. Conclusion: Our results suggest that modern vitrectomy techniques provide a very high retinal attachment rate in patients with retinal detachment following ARN syndrome.

KW - Acute retinal necrosis syndrome

KW - Retinitis

KW - Uveitis

KW - Vitrectomy

UR - http://www.scopus.com/inward/record.url?scp=0347089173&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0347089173&partnerID=8YFLogxK

M3 - Article

VL - 26

SP - 835

EP - 842

JO - Chang Gung Medical Journal

JF - Chang Gung Medical Journal

SN - 0255-8270

IS - 11

ER -