Long-Term Outcome of Patients Operated with Pars Plana Vitrectomy for Primary Rhegmatogenous Retinal Detachment

Poulsen, Christina Doefler; Green, Anders; Grauslund, Jakob

doi:10.1159/000499130

Cited by 14 publications

(14 citation statements)

References 31 publications

(39 reference statements)

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“…Correspondence: Dr. Maximilian Treder, Klinik für Augenheilkunde, Universitätsklinikum Münster, 48149 Münster, Germany, maximilian.treder@ ukmuenster.de Table 1. p values of the 1 univariate logistic and 2 multiple logistic regression analysis for various factors (according to [1]…”

Section: Republicationmentioning

confidence: 99%

“…Rhegmatogenous retinal detachment is a vision-threatening ophthalmological emergency [1, 2]. A prompt diagnosis and surgical treatment are of utmost importance.…”

Section: Knowledge Transfer Of Dr Maximilian Treder (Münster)mentioning

confidence: 99%

“…A prompt diagnosis and surgical treatment are of utmost importance. In principle, the retina can be fully reattached with a scleral buckling surgical procedure from the outside or with a vitrectomy from the inside [1,2]. In recent years, there has been a clear shift in this regard to pars plana vitrectomy (ppV) [1,3].…”

Section: Introductionmentioning

confidence: 99%

“…In principle, the retina can be fully reattached with a scleral buckling surgical procedure from the outside or with a vitrectomy from the inside [1,2]. In recent years, there has been a clear shift in this regard to pars plana vitrectomy (ppV) [1,3]. It is known that the patients' outcome depends on many different factors [3,2].…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcome of patients with pars plana vitrectomy following rhegmatogenous retinal detachment

Treder¹

2020

Kompass Ophthalmol

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To determine the long-term outcome of patients operated with pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD) and to identify potential predictors for poor visual outcome. Methods: Prospective, observational 30-month study of patients operated for primary RRD with PPV. Examinations were performed preoperatively and after months 2, 6, and 30. Results: Eighty-four patients (84 eyes) were included and 73 (86.9%) participated at month 30. The macula was attached in 30

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Section: Republicationmentioning

confidence: 99%

“…Rhegmatogenous retinal detachment is a vision-threatening ophthalmological emergency [1, 2]. A prompt diagnosis and surgical treatment are of utmost importance.…”

Section: Knowledge Transfer Of Dr Maximilian Treder (Münster)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long-term outcome of patients with pars plana vitrectomy following rhegmatogenous retinal detachment

Treder¹

2020

Kompass Ophthalmol

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“…Despite anatomic success, predictors of a lower functional outcome include the duration of macular detachment, preoperative presence of proliferative vitreoretinopathy (PVR), extension of RD, and the age of the patient. [1][2][3][4][5] Surgical techniques for RD repair comprise scleral buckling and pars plana vitrectomy (PPV) alone or in combination. However, in cases of macular involvement, based on a low-certainty evidence, vitrectomy may achieve better functional outcomes, [6][7][8][9][10] thus rendering the technique the treatment of choice for RD repair.…”

Section: Introductionmentioning

confidence: 99%

Impact of Vitreal Tamponade on Functional Outcomes in Vitrectomy with ILM Peeling in Primary Macula-Involving Retinal Detachment: A Retrospective Analysis

Deiss

Kaya²,

Pfister³

et al. 2020

OPTH

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Background To compare visual outcomes of vitrectomy with internal limiting membrane (ILM) peeling and failed SF 6 gas tamponade requiring silicone oil (SO) in a second procedure with primary SO tamponade in fovea-involving retinal detachment (FiRD). Methods Retrospective analysis of 82 eyes with retinal detachment and mild, but without advanced proliferative retinopathy (PVR ≥C2) requiring vitrectomy for FiRD. Group 1 comprised 23 eyes that underwent SF 6 tamponade resulting in re-detachment requiring revision surgery with secondary SO tamponade. Based on the intraoperative findings, group 2 patients had primarily received SO as vitreal tamponade (n=59). Patients receiving a scleral buckle surgery or with advanced PVR as well as patients with underlying vascular diseases and uveitis were excluded. Results Preoperative visual acuity (Early Treatment Diabetic Retinopathy Study letters) was 13.5 ± 19.1 in group 1 and 14.0 ± 18.3 in group 2 ( p =0.44). Twelve months after first surgery for FiRD, visual acuity was 49.8 ± 19.8 in group 1 and 51.7 ± 18.7 letters in group 2 ( p= 0.63). Re-detachment after SO removal requiring revision surgery developed in 17.4 (n=4) and 15.3% (n=9) cases. Conclusion Our findings suggest that if retinal traction is completely relieved at the end of surgery, vitrectomy with ILM peeling and SF 6 may, if successful, improve the functional outcomes in instances with visual potential, ie, a foveal detachment of short duration despite the presence of a mild to moderate PVR, but with the inherent increased risk of re-detachment requiring further intervention and the use of a SO tamponade. Hence, secondary SO installation during re-vitrectomy after failed primary reattachment surgery results in similar functional outcomes as primary oil filling.

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Accuracy of New Generation Intraocular Lens Calculation Formulas in Vitrectomized Eyes

Tan

Zhang

et al. 2020

American Journal of Ophthalmology

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PURPOSE: To compare the prediction accuracy of new intraocular lens (IOL) calculation formulas (Barrett Universal II [BUII], Emmetropia Verifying Optical [EVO], Kane and Ladas Super formula) and traditional formulas (Haigis, Hoffer Q, Holladay 1, and SRK/T) with Wang-Koch (WK) axial length (AL) adjustment in vitrectomized eyes.DESIGN: Retrospective consecutive case-series study. METHODS: One hundred eleven eyes of 111 patients underwent uneventful phacoemulsification and enVista MX60 implantation after vitrectomy were enrolled and divided into 4 groups according to whether the vitreous cavity was filled with silicone oil. The performance of each formula was evaluated with or without lens constant optimization.RESULTS: Before lens constants optimization, the mean prediction errors (MEs) of all formulas were statistically different from zero (0.14-0.46 diopters [D]) in vitrectomized eyes, except for the Kane formula. The BUII, EVO, Kane, and Haigis had relatively lower mean absolute error (MAE) and median absolute error (MedAE) with optimized constants. No significant systemic bias was found in new formulas for vitrectomized eyes with AL >26 mm (P > .05). The Hoffer Q and Holladay 1 displayed significantly hyperopic shift (0.39 and 0.51 D) for long eyes, which was corrected by the WK adjustment. There were no significant differences in the prediction accuracy of all formulas among 4 subgroups (P > .05).CONCLUSIONS: The BUII, EVO, Kane, and Haigis displayed comparable performance in vitrectomized eyes with optimized constants. In vitrectomized highly myopic eyes, the new formulas and traditional formulas with WK adjustment exhibited satisfactory prediction accuracy. Silicone oil tamponade did not affect the prediction accuracy of formulas using IOLMaster 700.

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Long-Term Outcome of Patients Operated with Pars Plana Vitrectomy for Primary Rhegmatogenous Retinal Detachment

Abstract: Long-term outcome of patients operated with pars plana vitrectomy for primary rhegmatogenous retinal detachment. Ophthalmic Research.

Cited by 14 publications

References 31 publications

Long-term outcome of patients with pars plana vitrectomy following rhegmatogenous retinal detachment

Long-term outcome of patients with pars plana vitrectomy following rhegmatogenous retinal detachment

Impact of Vitreal Tamponade on Functional Outcomes in Vitrectomy with ILM Peeling in Primary Macula-Involving Retinal Detachment: A Retrospective Analysis

Accuracy of New Generation Intraocular Lens Calculation Formulas in Vitrectomized Eyes

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