UNIGE document Scientific Article
previous document  unige:147690  next document
add to browser collection
Title

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

Authors
Guber, Josef
Bentivoglio, Maico
Valmaggia, Christophe
Lang, Corina
Published in Journal of Clinical Medicine. 2020, vol. 9, no. 12, p. 4037
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 CryocoagulationEndolaserPhacoemulsificationRhegmatogenous retinal detachmentRisk factorsVitrectomyIntraocular-lens implantationSilicone oilCataractTamponadeGaz
Identifiers
PMID: 33327511
Full text
Article (Published version) (216 Kb) - public document Free access
Structures
Research group Ophtalmologie expérimentale (925)
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 https://archive-ouverte.unige.ch/unige:147690

93 hits

30 downloads

Update

Deposited on : 2021-01-20

Export document
Format :
Citation style :