title: SURGICAL OUTCOMES AND COMPLICATIONS OF RHEGMATOGENOUS RETINAL DETACHMENT IN EYES WITH CHORIORETINAL COLOBOMA: The Results of the KKESH International Collaborative Retina Study Group.
abstract: OBJECTIVE
  To study the outcomes of management of rhegmatogenous retinal detachment in eyes with chorioretinal colobomas.
  
  
  METHODS
  A retrospective review of 119 patients (119 eyes) with chorioretinal colobomas who underwent surgical repair for rhegmatogenous retinal detachment was performed. Data were collected on the site of the retinal break, type of surgery, anatomical success, and complications.
  
  
  RESULTS
  The most common location of the primary retinal break was the intercalary membrane in 58.8% of eyes. The most common surgical intervention was vitrectomy with endolaser and silicone oil tamponade (77.3% of eyes). Final anatomical success was achieved in 87.4% of eyes. Anatomical success was significantly higher in eyes that received long-acting tamponade (P = 0.006). Cryotherapy was significantly associated with failure of primary vitrectomy (P = 0.028). Placement of an encircling band did not affect anatomical outcomes (P = 0.75). Most of the eyes (60%) with recurrent retinal detachment after primary vitrectomy had a primary break within the normal retina.
  
  
  CONCLUSIONS
  The optimal option for managing retinal detachment in eyes with chorioretinal colobomas is pars plana vitrectomy with long-acting tamponade (silicone oil or octafluoropropane) and retinopexy to the edge of the coloboma and the primary breaks. Cryotherapy is associated with poor anatomical outcomes. An encircling band does not seem to affect the final anatomical outcome.
authors.affiliation: *Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia; †Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; ‡Department of Ophthalmology, Advanced Eye Center, Postgraduate Institute of Medical Education and Research, Chandigarh, India; §Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia; ¶Smt. Kanuri Santhamma Retina Vitreous Centre, L.V. Prasad Eye Institute, Hyderabad, India; **Department of Ophthalmology, Universidade Estadual de Londrina, Londrina, Brazil; ††Banker's Retina Clinic and Laser Centre, Gujarat, India; and ‡‡Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Marwan A
authors.initials: MA
authors.lastname: Abouammoh
authors.forename: Sulaiman M
authors.initials: SM
authors.lastname: Alsulaiman
authors.forename: Vishali S
authors.initials: VS
authors.lastname: Gupta
authors.forename: Afnan
authors.initials: A
authors.lastname: Younis
authors.forename: Jay
authors.initials: J
authors.lastname: Chhablani
authors.forename: Abdullah
authors.initials: A
authors.lastname: Hussein
authors.forename: Antonio M
authors.initials: AM
authors.lastname: Casella
authors.forename: Alay S
authors.initials: AS
authors.lastname: Banker
authors.forename: J Fernando
authors.initials: JF
authors.lastname: Arevalo
mesh_terms: D002829:Choroid / Q000002:abnormalities*; D003103:Coloboma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D058450:Endotamponade / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012160:Retina / Q000002:abnormalities*; D012163:Retinal Detachment / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D012827:Silicone Oils / Q000008:administration & dosage; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*; D055815:Young Adult
chemical_list: D012827:Silicone Oils