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Title: Retinal detachment in albinism
Authors: Ahmad M. Mansour
Jay Chhablani
J. Fernando Arevalo
Lihteh Wu
Ravi Sharma
Suthasinee Sinawat
Tharikarn Sujirakul
Alexandre Assi
Wandsy M. Vélez-Vázquez
Mohamad A. Mansour
Ozcan Kayikcioglu
Cem Kucukerdonmez
Ali Kal
Rafik Hariri University Hospital
American University of Beirut
Johns Hopkins Bayview Medical Center
Baskent Universitesi
L.V. Prasad Eye Institute India
Celal Bayar Üniversitesi
Khon Kaen University
The Wilmer Eye Institute at Johns Hopkins
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Retina Associates
Asociados de Macula Vitreo y Retina de Costa Rica
Ekol ENT Hospital
Eye and Ear Hospital
Keywords: Medicine
Issue Date: 5-Apr-2018
Citation: Clinical Ophthalmology. Vol.12, (2018), 651-656
Abstract: © 2018 Mansour et al. Purpose: To report the visual and anatomic outcomes of albino retinal detachment (ARD) repair. Methods: Collaborative retrospective analysis of ARD. Outcome measures were number of surgical interventions, final retinal reattachment, and best corrected visual acuity (BCVA) at last follow-up. Results: Seventeen eyes of 16 patients (12 males; mean age =37.8 years) had the following complications at presentation: macula off (14), total (7) or inferior detachment (5), proliferative vitreoretinopathy (5), detectable break (16), lattice (5), horseshoe tears (9), and giant tear or dialysis (4). Mean number of interventions was 1.8 (range =1–5) and included cryopexy (15) with scleral buckle (11), and/or vitrectomy (8). Mean initial BCVA was counting finger (CF) 1 m and at last follow-up (mean 77 months) CF4m with mean improvement of 4.5 lines (early treatment diabetic retinopathy study) (P=0.05). Intraoperative choroidal hemorrhage occurred in three eyes. The retina was finally attached in 14 eyes, with residual inferior detachment in three eyes with silicone oil in situ. Silicone oil was kept in six of seven eyes because of residual inferior detachment (3) and removal of silicone oil, which led to redetachment (1) or fear of redetachment (2). Conclusion: Repair of ARD may require several interventions, with the need to keep silicone oil in several cases due to nystagmus and reduced melanin pigment.
ISSN: 11775483
Appears in Collections:Scopus 2018

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