Our Summary

This study looked at the outcomes of surgeries performed on patients suffering from a specific type of eye condition known as acute retinal necrosis. This condition can lead to a separation of the retina from the back of the eye, resulting in vision loss. The researchers followed up with 34 patients who had surgery to correct this issue between 2011 and 2021.

The usual surgical procedure involves a technique called pars plana vitrectomy, sometimes combined with a surgical procedure called scleral buckle. The surgery was successful in about 64% of the cases in a single attempt. However, even after surgery, patients’ vision remained poor.

The researchers found that being female and having a specific type of eye inflammation at the time of presentation were factors that increased the chances of the retina detaching again after surgery.

Also, younger patients and patients with better vision before the surgery tended to have better vision a year after the surgery.

The study concludes that while the surgical techniques being used currently have a moderate success rate, the visual outcomes after the surgery are still not very good. Therefore, more research is needed to find ways to improve the success rate of the surgery, manage the inflammation caused by acute retinal necrosis better, and prevent the retina from detaching due to this condition.

FAQs

  1. What is the success rate of surgery for acute retinal necrosis?
  2. What factors can increase the chances of the retina detaching again after surgery?
  3. How is vision typically affected after surgery for acute retinal necrosis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about retinal surgery is to closely follow post-operative instructions, including taking prescribed medications, attending follow-up appointments, and avoiding activities that could put strain on the eyes. It is important to communicate any changes in vision or symptoms to the doctor promptly to ensure the best possible outcome from the surgery.

Suitable For

Patients who are typically recommended retinal surgery include those with retinal detachment, macular holes, diabetic retinopathy, epiretinal membranes, and other conditions that affect the retina and require surgical intervention to preserve or improve vision. Retinal surgery may also be recommended for patients with complications from eye injuries or infections that affect the retina.

Timeline

Before retinal surgery:

  1. Patient experiences symptoms of acute retinal necrosis, such as vision loss, floaters, and flashes of light.
  2. Patient undergoes a thorough eye examination to diagnose the condition.
  3. Patient discusses treatment options with their ophthalmologist, including the possibility of retinal surgery.
  4. Patient undergoes pre-operative testing to assess their overall eye health and suitability for surgery.

After retinal surgery:

  1. Patient undergoes retinal surgery, which may involve pars plana vitrectomy and scleral buckle techniques.
  2. Patient may experience some discomfort and blurry vision immediately after surgery.
  3. Patient is closely monitored by their ophthalmologist in the days and weeks following surgery.
  4. Patient may require additional treatments or procedures to address any complications or issues that arise post-surgery.
  5. Patient undergoes follow-up appointments to assess the success of the surgery and monitor their vision recovery.
  6. Patient may undergo vision rehabilitation to improve their visual outcomes after surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with retinal surgery?
  2. How long is the recovery period after retinal surgery, and what can I expect during this time?
  3. Will I need to undergo any additional treatments or follow-up appointments after the surgery?
  4. What is the success rate of the specific surgical technique you plan to use for my case?
  5. Are there any lifestyle changes or precautions I should take after retinal surgery to protect my eyes and promote healing?
  6. How soon can I expect to see improvements in my vision after the surgery?
  7. What are the chances of the retina detaching again after the surgery, and what factors may increase this risk?
  8. Are there any specific factors about my case (such as age, gender, or pre-existing eye conditions) that may impact the success of the surgery?
  9. Are there any alternative treatment options or approaches that I should consider before proceeding with retinal surgery?
  10. Can you provide me with any additional resources or information to help me better understand the surgical procedure and what to expect during the recovery process?

Reference

Authors: Wu CY, Fan J, Davis JL, Berrocal AM, Haddock LJ, Yannuzzi NA, Fortun JA, Scott NL, Chau V, Albini TA. Journal: Ophthalmol Retina. 2022 Nov;6(11):992-1000. doi: 10.1016/j.oret.2022.05.023. Epub 2022 May 30. PMID: 35654364