Primary Retinal Detachment Outcomes Study: summary of reports number 1 to number 18

Abstract

Purpose of reviewTo highlight the recent work published from the Primary Retinal Detachment Outcomes (PRO) Study Group. Recent findingsThe PRO database was a large dataset made up of patients with primary rhegmatogenous retinal detachments (RRD) who had surgical repair during 2015. The database was constituted of nearly 3000 eyes from 6 centers across the United States and included 61 vitreoretinal surgeons. Nearly 250 metrics were collected for each patient, creating one of the richest datasets of patients with primary rhegmatogenous detachments and their outcomes. The importance of scleral buckling was demonstrated, particularly for phakic eyes, elderly patients, and those with inferior breaks. 3608 laser may result in poorer outcomes. Cystoid macular edema was common, and risk factors were identified. We also found risk factors for vision loss in eyes presenting with good vision. A PRO Score was devised, to predict outcomes based on presenting clinical characteristics. We also identified characteristics of surgeons with the highest single surgery success rates. Overall, there were no major outcome differences between viewing systems, gauges, buckles sutured vs. scleral tunnels, drainage method, and techniques to address proliferative vitreoretinopathy. All incisional techniques were found to be very cost-effective treatment modalities. SummaryNumerous studies resulted from the PRO database that significantly added to the literature regarding the repair of primary RRDs in the current era of vitreoretinal surgery.

Neighborhood-Level Social Determinants of Health and Presenting Characteristics for Rhegmatogenous Retinal Detachments

“…1 With advances in vitreoretinal surgery techniques, reattachment rates have improved. 2,3 Although anatomic success is associated with superior postoperative visual acuity, functional outcomes after retinal reattachment remain variable 4 due to preoperative and intraoperative factors. 5,6 Of these, baseline visual acuity and fovea status are the strongest and most consistent factors that predict final vision.…”