Primary vitrectomy for rhegmatogenous retinal detachment

Hakin, K N; Lavin, Michael; Leaver, P K

doi:10.1007/bf00919031

Cited by 107 publications

(61 citation statements)

References 12 publications

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“…In yet another study, El-Rayes reported success rates of 85.71 and 94.62% in treating retinal detachment in high myopes with scleral buckling and pars plana vitrectomy, respectively (American Academy Ophthalmology Subspecialty Day, Retina, 2003, Anaheim, LA, USA). Comparing the postoperative results ranging from 64.5 to 88.0% in other reports, [23][24][25][26] in patients with all kinds of refractive error, the anatomical success rate was quite favourable in highly myopic eyes despite the high risk and difficulty in vitreoretinal surgery.…”

Section: Discussionmentioning

confidence: 76%

Anatomical and functional outcome of surgery of primary rhegmatogenous retinal detachment in high myopic eyes

Cheng

et al. 2006

Eye

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Purpose To analyse the anatomical and functional outcome of surgery for primary rhegmatogenous retinal detachment (RRD) in highly myopic eyes. Methods We retrospectively reviewed the medical records of 111 high myopic patients (111 eyes) with primary RRD treated by scleral buckling or pars plana vitrectomy in a tertiary referral university hospital. The postoperative retinal status and best-corrected visual acuity were recorded. Risk factors including age, refractive error, duration of retinal detachment, preoperative visual acuity, extent of detachment, and intraoperative and postoperative complications were evaluated. Multiple logistic regression analysis was used to determine the independent correlation of each variable on anatomical and functional outcome. Results Primary surgery resulting in retinal reattachment was achieved in 96 (86.5%) eyes with more than 6 months follow-up (range, 6-60 months). Sixty-eight (61.3%) eyes had postoperative corrected visual acuity 20/50 or more. Postoperative complications in high myopic eyes were variable, and the most common was cataract progression (19.8%). Upon multiple logistic regression analysis, young patients had significantly better anatomical outcome, although the variables including less refraction error, better preoperative visual acuity, scleral buckling procedure, and less surgical intervention showed better functional outcome in our series. Conclusions The anatomical outcome of surgery for primary RRD in highly myopic eyes was favourable, and young patients tended to have a higher success rate. Functional outcome was significantly correlated with refractive error, preoperative visual acuity, surgical procedure, and number of vitreoretinal surgery.

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Section: Discussionmentioning

confidence: 76%

Anatomical and functional outcome of surgery of primary rhegmatogenous retinal detachment in high myopic eyes

Cheng

et al. 2006

Eye

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“…Nevertheless, the rates of postoperative PVR development [22][23][24] and anatomical success 4,7,12,15,[22][23][24][25] are in accordance with published data, although we found the differences in the latter between phakic and pseudophakic eyes to be somewhat smaller than those reported by other investigators. 24,26,27 One reason for the small difference in anatomical outcome between phakic and pseudophakic eyes could be that previous studies included predominately scleral buckling procedures without vitrectomy, or included eyes that were either aphakic, had received an anterior chamber lens or did not qualify for uncomplicated posterior chamber lens implantations. 4,6,7,16,17,22,23,25 The situation of the implant has already been shown to have an impact on the anatomical and functional outcome of reattachment surgery.…”

Section: Discussionmentioning

confidence: 99%

Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes

Halberstadt

Chatterjee-Sanz

Brandenberg

et al. 2004

Eye

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Aim To compare the anatomical and functional success of primary scleral buckling, performed either alone or in combination with vitrectomy, for primary retinal detachment (RD) in phakic eyes and in eyes had undergone uneventful phacoemulsification and had received posterior chamber lens implantations. Methods A total of 243 consecutive patients were included in this retrospective, nonrandomized comparative study. In all, 165 phakic and 78 pseudophakic individuals with primary RD underwent scleral buckling alone or in combination with vitrectomy and were followed up for 6 months. Pre-, intra-and postoperative findings including anatomical success, best-corrected visual acuity (BCVA), complications, and the development of proliferative vitreoretinopathy (PVR), macular pucker, or secondary cataracts were recorded. Cases requiring more than one surgical intervention were defined having failed, although further surgical intervention might have led to success. Results At 6 months after scleral buckling alone, the anatomical success was similar in phakic (88.98%) and pseudophakic (87.65%) eyes (log rank ¼ 0.310). The corresponding results after scleral buckling with vitrectomy were 82.13 and 77.63% for phakic and pseudophakic eyes, respectively (log rank ¼ 0.799). At 6 months after scleral buckling alone, BCVA was similar in phakic and pseudophakic eyes (0.6270.30 vs 0.7070.29; P ¼ 0.227). Likewise, after scleral buckling with vitrectomy, BCVA did not differ significantly (P ¼ 0.322) between phakic (0.3470.32) and pseudophakic eyes (0.5070.27). Conclusion The anatomical and functional outcome of primary retinal reattachment surgery, involving scleral buckling alone or in combination with vitrectomy, is similar in phakic and pseudophakic eyes.

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“…[4][5][6][7][8][9][10][11][12][13][14] The minimum acceptable standards that the steering committee felt should be achieved are presented in Table 1.…”

Section: Methodsmentioning

confidence: 99%

National audit of the outcome of primary surgery for rhegmatogenous retinal detachment. I. Sample and methods

Thompson

Snead

Billington

et al. 2002

Eye

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outcome of primary surgery for rhegmatogenous retinal detachment. I. Sample and methods AbstractPurpose This national study was designed to audit anatomical outcome and complications relating to primary surgery for rhegmatogenous retinal detachments. This paper presents survey methods, characteristics of participating consultants and the demographic and clinical characteristics of the patient sample. Methods Two surveys were undertaken. The first identified consultants who at the time performed retinal detachment surgery in the National Health Service. These surgeons formed the sampling frame for a nationwide cross-sectional clinical study that audited the outcomes of primary surgery for rhegmatogenous retinal detachments. Consultants selected patients according to the study eligibility criteria and data were collected by self-administered postal questionnaires. A validation exercise was carried out to examine selection bias and reporting accuracy. Results Only 256/671 (38%) of UK consultants, who responded to the first survey, indicated that they performed retinal detachment surgery on NHS patients. Annual activity varied between 0 and 400 primary procedures for rhegmatogenous retinal detachments. Seven hundred and sixty-eight eligible patients from 167 consultants were recruited for the clinical study. Twenty per cent of patients had a single retinal break with less than one quadrant of associated detachment and 45% had single or multiple breaks within the same quadrant and/or less than two quadrants of associated retinal detachment. Over 50% patients had single or multiple horseshoe tears. Validation studies suggested that there was no significant bias from the selection of patients or inaccuracy in reporting outcomes. Conclusions This large unselected group of primary rhegmatogenous retinal detachments provides a representative sample for considering variations in re-attachment rates.

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Primary vitrectomy for rhegmatogenous retinal detachment

Cited by 107 publications

References 12 publications

Anatomical and functional outcome of surgery of primary rhegmatogenous retinal detachment in high myopic eyes

Anatomical and functional outcome of surgery of primary rhegmatogenous retinal detachment in high myopic eyes

Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes

National audit of the outcome of primary surgery for rhegmatogenous retinal detachment. I. Sample and methods

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