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Primary rhegmatogenous retinal detachment – surgical methods and anatomical outcome
Author(s) -
Haugstad Marta,
Moosmayer Stefan,
Bragadόttir Ragnheiður
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.13295
Subject(s) - scleral buckle , vitrectomy , pars plana , medicine , retinal detachment , ophthalmology , visual acuity , retinal , proliferative vitreoretinopathy , surgery
Abstract Purpose The aim of the study was to evaluate the anatomical success of surgical management of primary rhegmatogenous retinal detachment ( RRD ) and to compare the anatomical outcomes from different surgical techniques. Methods During 2012, 517 consecutive eyes (514 patients) were operated by 11 surgeons at the Department of Ophthalmology, Oslo University Hospital. Patient records were retrospectively analysed with no exclusions. Main outcome measures were primary and final anatomical success. Primary anatomical success was defined as retinal reattachment 6 months after primary surgery with reoperations excluded. Final anatomical success was defined as retinal reattachment 6 months after primary surgery with reoperations included. Results Incidence of RRD was 18.6 eyes per 100 000 person‐years. The macula was detached in 50.5% of the eyes at baseline. Of 517 operated eyes, 317 (61.3%) underwent pars plana vitrectomy ( PPV ), 23 (4.5%) pars plana vitrectomy together with a scleral buckle ( PPV ‐ SB ), 175 (33.9%) scleral buckle ( SB ) surgery and two (0.4%) pneumatic retinopexy ( PR ). Primary anatomical success was 89.0% in the PPV group, 87.0% in the PPV ‐ SB group and 85.7% in the SB group. Final anatomical success was 98.1% in the PPV group, 100% in the PPV ‐ SB group and 99.4% in the SB group. Factors which were correlated to the redetachment were detachment of more than 6 clock hours (p = 0.003) and visual acuity ( VA ) on Snellen chart <0.5 (p = 0.02) at baseline. Conclusion This study showed no significant differences in the surgical success rates in the treatment of RRD between pars plana vitrectomy, scleral buckle or the combined procedure of vitrectomy and buckle. Factors which were found to be correlated to the redetachment of the retina were large detachment and low VA .

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