Predictive Risk Factors for Retinal Redetachment Following Uncomplicated Pars Plana Vitrectomy for Primary Rhegmatogenous Retinal Detachment
Wissenschaftlicher Artikel/Review - 14.12.2020
Guber Josef, Bentivoglio Maico, Valmaggia Christophe, Lang Corina, Guber Ivo
To investigate clinical and surgical factors influencing the outcome after primary rhegmatogenous retinal detachment surgery.
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.
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).
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.