Publikation

Predictive Risk Factors for Retinal Redetachment Following Uncomplicated Pars Plana Vitrectomy for Primary Rhegmatogenous Retinal Detachment

Wissenschaftlicher Artikel/Review - 14.12.2020

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Zitation
Guber J, Bentivoglio M, Valmaggia C, Lang C, Guber I. Predictive Risk Factors for Retinal Redetachment Following Uncomplicated Pars Plana Vitrectomy for Primary Rhegmatogenous Retinal Detachment. J Clin Med 2020; 9
Projekt
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
J Clin Med 2020; 9
Veröffentlichungsdatum
14.12.2020
ISSN (Druck)
2077-0383
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PURPOSE
To investigate clinical and surgical factors influencing the outcome after primary rhegmatogenous retinal detachment surgery.

METHODS
A retrospective, single-centre, case-control study of 1017 eyes of 1017 consecutive patients with primary rhegmatogenous retinal detachment (RRD) who underwent pars plana vitrectomy (PPV), were included in the study. Analysed surgical factors were: combined procedure with phacoemulsification, type of retinopexy (cryocoagulation, endolaser, combined), type of tamponade (gas, silicone oil), and anatomical factors: primary proliferative vitreoretinopathy (PVR) and macular detachment at the time of surgery.

RESULTS
Overall retinal re-detachment rate was 10.1%. The main reason for re-detachment was an insufficient retinopexy in 53.6%, followed by PVR (37.3%), and retinal detachment occurred at a different location caused by another break in 9.1%. No significant difference in the rate of re-detachment was found if a phacoemulsification with simultaneous IOL implantation was performed ( = 0.641). No significant difference between the various retinopexy techniques was found ( = 0.309). Risk factors re-detachment were primary PVR ( = 0.0003), silicone oil as initial tamponade ( = 0.0001) as well as macula off detachments ( = 0.034).

CONCLUSIONS
The present study showed no significant difference between the types of retinopexy and if additional phacoemulsification was performed or not. Factors associated with a higher risk for re-detachment were detached macula at surgery, primary PVR and primary oil-filling.