Visual Acuity After the Repair of Pseudophakic Retinal Detachments Involving the Macula

Isernhagen, Rick; Wilkinson, C. P.

doi:10.1097/00006982-198909010-00003

Cited by 22 publications

(15 citation statements)

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“…The most important predictor of visual recovery is preoperative visual acuity, which relates largely to the attachment of the macula. 11,12,25 However, after scleral buckling plus vitrectomy, the frequency of cases with a BCVA of at least 0.4 (20/50) was significantly higher in pseudophakic than in phakic patients (both with and without secondary cataracts). This observation may be indicative of the effectiveness of primary vitrectomy in pseudophakic eyes.…”

Section: Discussionmentioning

confidence: 96%

“…This observation may be indicative of the effectiveness of primary vitrectomy in pseudophakic eyes. 11,16,17,22,25 The finding may relate to the fact that in pseudophakic eyes, there is no risk of secondary cataract formation. In pseudophakic eyes, a more thorough removal of vitreal opacities is possible, and the visual benefit thereby derived cannot be subsequently impaired by secondary cataract formation.…”

Section: Discussionmentioning

confidence: 99%

“…5 Since RD is more extensive in pseudophakic eyes, 5 the macula has been described to be detached more frequently. 8,11 Consequently, the visual recovery after reattachment surgery is supposed to be poorer in pseudophakic eyes. 11,12 In a recent study, the influence of posterior capsulotomy on the anatomical and functional outcome of retinal reattachment surgery in pseudophakic eyes has been well described.…”

Section: Introductionmentioning

confidence: 99%

“…8,11 Consequently, the visual recovery after reattachment surgery is supposed to be poorer in pseudophakic eyes. 11,12 In a recent study, the influence of posterior capsulotomy on the anatomical and functional outcome of retinal reattachment surgery in pseudophakic eyes has been well described. 13 However, a direct comparison between the functional results achieved after primary retinal reattachment surgery in phakic eyes and those attained after uneventful extracapsular cataract extraction by phacoemulsification and the implantation of a posterior chamber lens has not been published to date.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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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“…This is in keeping with other studies. 3,[13][14][15] Friberg and Eller 15 found that stronger correlation can be found if a potential acuity meter is used to measure preoperative vision, perhaps because this removes the confounding effect of the refractive error induced by the macular detachment or because less light scatter occurs. Factors associated with poor preoperative vision that are associated with poor postoperative visual outcome in other studies are height of foveal detachment 16 and PVR.…”

Section: Statistically Significant Factors Predicting Visual Outcomementioning

confidence: 99%

How effective is macula-off retinal detachment surgery. Might good outcome be predicted?

Doyle

Herbert

Bunce

et al. 2006

Eye

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Purpose To determine factors associated with anatomical and functional outcomes of macula-off retinal detachment surgery in a modern vitreoretinal unit. Methods A retrospective casenote review of 185 patients presenting with macula-off retinal detachment was performed. Demographic and ocular characteristics were determined. Logistic regression analysis was used to determine (1) the effect of these factors on visual outcome and (2) their effect on primary and final anatomical success. Results Primary and ultimate anatomical success were achieved in 76 and 84% of cases. Patients with oil in at final follow-up were considered to be anatomical failures. Statistically significant factors predicting primary anatomical success using a multiple variable model were preoperative logMAR visual acuity, preoperative PVR and number of breaks. Preop logMAR visual acuity and duration of macular detachment were the statistically significant factors predicting ultimate success. In all, 44% of patients regained 6/12 Snellen or better with a median improvement of 0.78 logMAR. For prediction of visual outcome (in patients with no ocular comorbidity) only preoperative logMAR visual acuity achieved statistical significance (P ¼ 0.001) at the P ¼ 0.05 level. Conclusion In all, 76% of macula-off detachments may be repaired with one operation and 44% of patients regain at least 6/12 Snellen. The median logMAR acuity increment of 0.78 far exceeds that seen in cataract surgery. Preoperative visual acuity is the most important factor predicting primary and final anatomical success as well as visual outcome. Preoperative PVR, number of breaks and duration of detachment also affect outcomes.

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The learning curve for primary vitrectomy without scleral buckling for pseudophakic retinal detachment

Dugas

Lafontaine

Guillaubey

et al. 2008

Graefes Arch Clin Exp Ophthalmol

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Visual Acuity After the Repair of Pseudophakic Retinal Detachments Involving the Macula

Cited by 22 publications

References 0 publications

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

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

How effective is macula-off retinal detachment surgery. Might good outcome be predicted?

The learning curve for primary vitrectomy without scleral buckling for pseudophakic retinal detachment

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