In:
Ophthalmologica, S. Karger AG, Vol. 246, No. 2 ( 2023), p. 141-149
Abstract:
〈 b 〉 〈 i 〉 Introduction: 〈 /i 〉 〈 /b 〉 The aim of this study was to report surgical outcomes and risk factors for primary surgical failure following rhegmatogenous retinal detachment (RRD) repair. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 In this retrospective cohort study, RRD patients who underwent primary surgery at a tertiary center between January 1, 2006, and December 31, 2020, were enrolled. Surgical failure was defined as reoperation within 60 days postoperatively due to retinal re-detachment and putative risk factors for surgical failure were analyzed. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 Of 2,383 eyes (2,335 patients), 1,342 (56.3%) underwent vitrectomy and 1,041 (43.7%) underwent scleral buckling. The surgical failure rate was 9.1% overall, and 6.0% and 13.1% for the vitrectomy and scleral buckling groups, respectively. In the multivariate logistic regression analysis, surgical failure was associated with surgical experience (first-year fellow vs. senior professor) (odds ratio [OR]: 1.66; 〈 i 〉 p 〈 /i 〉 = 0.018), scleral buckling (OR: 2.33; 〈 i 〉 p 〈 /i 〉 & lt; 0.001), and longer axial length (AL; ≥26.5 mm) (OR: 1.49; 〈 i 〉 p 〈 /i 〉 = 0.017). In each surgical approach, age & lt;40 years (OR: 2.11; 〈 i 〉 p 〈 /i 〉 = 0.029) in the vitrectomy group and age & gt;40 years (OR, 1.84; 〈 i 〉 p 〈 /i 〉 = 0.004), male sex (OR: 1.65; 〈 i 〉 p 〈 /i 〉 = 0.015), and first-year fellows compared to senior professors (OR: 1.95; 〈 i 〉 p 〈 /i 〉 = 0.013) in the scleral buckling group were associated with surgical failure. Lens status were not associated with the surgical failure rate. 〈 b 〉 〈 i 〉 Conclusion: 〈 /i 〉 〈 /b 〉 In this large retrospective study using data from Korea, vitrectomy was superior to scleral buckling in terms of primary anatomical outcomes in the management of RRD. First-year fellows were a risk factor for surgical failure, especially for scleral buckling. Longer AL was a significant parameter for predicting the success rates.
Type of Medium:
Online Resource
ISSN:
0030-3755
,
1423-0267
Language:
English
Publisher:
S. Karger AG
Publication Date:
2023
detail.hit.zdb_id:
1483531-9
