Prognostic Factor Analysis of Visual Outcome After Vitrectomy for Rhegmatogenous Retinal Detachment

Overview

Journal J Clin Med

Specialty General Medicine

Date 2020 Oct 15

PMID 33053642

Citations 2

Authors

Polona Zaletel Benda

Bor Vratanar

Goran Petrovski

Ana Ursula Gavric

Katja Matovic

Ana Gornik

Katarina Vergot

Anila Lumi

Xhevat Lumi

Affiliations

Soon will be listed here.

Abstract

Pars plana vitrectomy (PPV) is a surgical approach mainly chosen for complex rhegmatogenous retinal detachment (RRD) repair with highly variable functional results. The aim of this analysis was to evaluate the impact of preoperative factors and postoperative optical coherence tomography (OCT) macular findings on the functional outcome of patients undergoing primary PPV for RRD. A retrospective analysis was performed on 88 eyes of 88 patients with complex RRD managed by PPV. A swept source OCT was used to obtain images at the postoperative visit at least 6 months after PPV. Hierarchical linear regression model was used to evaluate the influence of preoperative factors related to patient, ocular clinical and postoperative OCT macular findings on functional outcomes of PPV for RRD. Duration of symptoms ( = 0.031) and discontinuity of the ellipsoid zone (EZ) on OCT ( = 0.024) showed statistically significant negative correlation, while preoperative best-corrected visual acuity (BCVA; < 0.001) showed statistically significant positive correlation to postoperative BCVA. Preoperative BCVA and duration of symptoms can be used as prognostic factors for visual outcome in patients undergoing PPV for RRD. Discontinuity of the EZ was the only postoperative OCT variable related to worse postoperative visual outcome.

Citing Articles

Management, risk factors and treatment outcomes of rhegmatogenous retinal detachment associated with giant retinal tears: scoping review.

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