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Predictive risk factors for retinal redetachment following uncomplicated pars plana vitrectomy for primary rhegmatogenous retinal detachment

Contributors

Guber, Josef; Bentivoglio, Maico; Valmaggia, Christophe; Lang, Corina; Guber, Ivo

Published in

Journal of Clinical Medicine, vol. 9, no. 12, 4037

Publication date

2020

Abstract

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 (p = 0.641). No significant difference between the various retinopexy techniques was found (p = 0.309). Risk factors re-detachment were primary PVR (p = 0.0003), silicone oil as initial tamponade (p = 0.0001) as well as macula off detachments (p = 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.

Keywords

  • Cryocoagulation
  • Endolaser
  • Phacoemulsification
  • Rhegmatogenous retinal detachment
  • Risk factors
  • Vitrectomy
  • Intraocular-lens implantation
  • Silicone oil
  • Cataract
  • Tamponade
  • Gaz

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

GUBER, Josef et al. Predictive risk factors for retinal redetachment following uncomplicated pars plana vitrectomy for primary rhegmatogenous retinal detachment. In: Journal of Clinical Medicine, 2020, vol. 9, n° 12, p. 4037. doi: 10.3390/jcm9124037

Main files (1)

Article (Published version)
CC BY

Identifiers

Journal ISSN

2077-0383
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283downloads

Technical informations

Creation

19/01/2021 10:18:00

First validation

19/01/2021 10:18:00

Update

15/03/2023 23:54:44

Status update

15/03/2023 23:54:42

Last indexation

31/10/2024 21:04:14
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