11/29/2023 0 Comments Surgery for torn retina![]() One of these patients received repeat PBI for the recurrence and remains free of metastasis 43.75 months after initial treatment of the UM. Two patients (2/86 2.3%) developed recurrences, with time to recurrence of 35.8 months and 48.4 months after PBI. Median follow-up time was 43.2 months (range: 1.6 months to 54.7). Of those treated with proton therapy, 86 returned for at least one follow-up visit after completion of PBI, and 64 patients (64.6%) had three or more years (defined as a follow-up visit at 33 months or later) of follow-up. Ninety-nine patients received proton beam irradiation, 1 patient had an enucleation and 3 patients elected to participate in a clinical trial. ![]() Both recurrences were initially treated with plaque radiotherapy. One hundred three patients were treated for uveal melanoma (UM) in calendar year 2018 101 patients were treated after diagnosis of primary UM while 2 patients were treated for recurrent melanoma. The Ocular Melanoma Center closely examines the recurrence rate at three years following treatment, and as such 2018 results are presented above. Uveal melanoma can be treated effectively with proton beam irradiation, achieving high rates of local control, and preserving visual function in many patients. 1-3 Of the 34 eyes included for analysis in calendar year 2021, 97.1% (33/34) achieved surgical success after one or two surgeries. A review of the literature suggests that single surgery success rates for macular hole surgery range from 89.8% to 93.0%. Success was defined as any primary macular hole that was fully closed on an exam between one week and five months following their first surgery, taking the status of the macular hole closest to the patient’s five-month follow-up. Of the 34 eyes, 31 (91.2%) achieved surgical success with a single operation. ![]() After exclusion criteria were applied, a total of 34 primary macular hole surgeries on 34 eyes (which included pars plana vitrectomy, membrane peel, and gas tamponade) were included in the following analysis. Of these 120 macular hole surgeries, the following were excluded: macular holes associated with RRD or trauma, holes with a history of prior pars plana vitrectomy, macular holes of greater than 6 months duration, and cases with insufficient follow-up. *Beginning in 2020, macular hole follow-up was included between one week to five months, taking the status of the macular hole closest to the patient's five-month follow-up.ĭuring calendar year 2021, the Mass Eye and Ear Retina Service performed 120 macular hole surgeries. Similar results were reported for calendar years 2013 to 2020.īenchmarks were determined from a literature review of studies that reported single surgery reattachment rates for at least two of the three surgical techniques in this analysis (i.e., pneumatic retinopexy, pars plana vitrectomy, and/or scleral buckle). Single surgery reattachment rate, defined as an attached retina 3-5 months post-operatively, was 84.1% (or 127 of 151 eyes). After exclusion criteria were applied, 151 uncomplicated primary RRD surgeries remained for the following analysis. From these 704 cases, the following were excluded: chronic RDs of greater than one month duration exudative and tractional RDs RDs associated with proliferative vitreoretinopathy, macular holes, or trauma prior pars plana vitrectomy patients younger than 18 years of age cases associated with Marfan’s or Stickler’s syndrome and cases with insufficient follow-up. The Retina Service repairs RRDs with pneumatic retinopexy, pars plana vitrectomy, and/or scleral buckle surgery.ĭuring calendar year 2021, the Mass Eye and Ear Retina Service performed a total of 1,863 procedures, of which 704 were for retinal detachments (RDs). ^The decrease in the number of included surgeries is due in part to an increasing number of complex cases managed by the Retina Service in addition to an increase in cases with insufficient follow up due to COVID-19.Īt Mass Eye and Ear’s Retina Service, primary rhegmatogenous retinal detachment (RRD) is one of the most common retinal conditions that requires surgical repair.
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