December 17, 2021
1 minute read
You E, et al. Comparison of results in rhegmatogenous retinal detachment with lower retinal ruptures between different surgical techniques. Presented at the meeting of the American Academy of Ophthalmology; November 12-15, 2021; New Orleans.
Disclosures: The authors report no relevant financial information.
NEW ORLEANS – Pars plana vitrectomy has a similar success rate to scleral loop or pars plana vitrectomy with scleral loop in cases of rhegmatogenous retinal detachment with lower retinal ruptures, according to a presentation here.
“We sought to compare anatomical and visual outcomes between different surgical techniques…for RRD with inferior tears,” Eunice You, medical doctor, and colleagues wrote in a poster presentation at the American Academy of Ophthalmology meeting.
The researchers conducted a retrospective study of 1,516 consecutive patients who underwent surgery for rhegmatogenous retinal detachment (RRD) between 2014 and 2018; 504 eyes that had at least one lower retinal break in the detached retina between 4 and 8 hours were included in the analysis.
The primary endpoint of the study was the single surgery success rate, which was defined as the maintenance of retinal attachment at all follow-up points without the need for additional surgery. The secondary endpoint was final visual acuity.
Patients who underwent pars plana vitrectomy (PPV) had an 89.6% success rate, patients who underwent scleral loop (SB) had an 86.9% success rate and patients who underwent PPV with SB had a success rate of 89.3%.
Male sex (P = 0.027), macula-off state (P = 0.038) and baseline visual acuity (P
“DRR with lower retinal breaks had a similar single-surgery success rate across all three surgical techniques,” the study authors wrote. “This suggests that the primary PPV [has] similar success rates without the potential complications of SB, although other studies suggest improved results with PPV-SB. »
Limitations included the retrospective and single center nature of the study.