Repair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation

Repair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation

Sirpa Loukovaara,1 Jari Haukka2 1Unit of Vitreoretinal Surgery, Department of Ophthalmology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; 2Department of Public Health, University of Helsinki, Helsinki, Finland Background: Pars plana vitrectomy (PPV) combined with pha...

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Autores principales: Loukovaara S, Haukka J
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
Materias:
Cataract surgery
Rhegmatogenous retinal detachment
Proliferative vitreoretinopathy
Cohort study
Epidemiology
Vitreoretinal surgery
Statin therapy
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/345b271461c34ef7a71ed645271e9f7d
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spelling oai:doaj.org-article:345b271461c34ef7a71ed645271e9f7d2021-12-02T00:41:58ZRepair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation1177-5483https://doaj.org/article/345b271461c34ef7a71ed645271e9f7d2018-08-01T00:00:00Zhttps://www.dovepress.com/repair-of-primary-rrd-comparing-pars-plana-vitrectomy-procedure-with-c-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Sirpa Loukovaara,1 Jari Haukka2 1Unit of Vitreoretinal Surgery, Department of Ophthalmology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; 2Department of Public Health, University of Helsinki, Helsinki, Finland Background: Pars plana vitrectomy (PPV) combined with phacoemulsification and primary intraocular lens implantation can be performed for the repair of primary rhegmatogenous retinal detachment (RRD; PHACOVIT group). The safety and efficacy of this combined ophthalmic procedure on RRD surgery outcomes remain unclear compared with more conventional PPV technique alone (VITRET group). We explored the need for reoperation after primary surgical procedure in these two groups. Methods: Retrospective, longitudinal, register-based cohort of RRD patients was operated in University Eye Clinic, Helsinki, Finland, during 2008–2014. The main outcome measure was reoperation rate during a postoperative follow-up period of 1 year due to retinal re-detachment, vitreous rehemorrhage, postoperative endophthalmitis, secondary pucker, macular hole or other reasons. Results: We analyzed 1,690 consecutive RRD cases, out of which 1,564 patients were treated in the PPV VITRET group and 126 patients in the PHACOVIT-operated group. Risk for reoperation was 2.67 times higher in the PHACOVIT group compared to the PPV VITRET group (95% CI 1.85–3.85). Conclusion: The reoperation rate was higher in RRD eyes operated with combined cataract surgery plus PPV, suggesting that RRD eyes should not primarily undergo combined PHACOVIT surgery. Keywords: cataract surgery, rhegmatogenous retinal detachment, proliferative vitreoretinopathy, cohort study, epidemiology, vitreoretinal surgery, statin therapyLoukovaara SHaukka JDove Medical PressarticleCataract surgeryRhegmatogenous retinal detachmentProliferative vitreoretinopathyCohort studyEpidemiologyVitreoretinal surgeryStatin therapyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1449-1457 (2018)
institution DOAJ
collection DOAJ
language EN
topic Cataract surgery
Rhegmatogenous retinal detachment
Proliferative vitreoretinopathy
Cohort study
Epidemiology
Vitreoretinal surgery
Statin therapy
Ophthalmology
RE1-994
spellingShingle Cataract surgery
Rhegmatogenous retinal detachment
Proliferative vitreoretinopathy
Cohort study
Epidemiology
Vitreoretinal surgery
Statin therapy
Ophthalmology
RE1-994
Loukovaara S
Haukka J
Repair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation
description Sirpa Loukovaara,1 Jari Haukka2 1Unit of Vitreoretinal Surgery, Department of Ophthalmology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; 2Department of Public Health, University of Helsinki, Helsinki, Finland Background: Pars plana vitrectomy (PPV) combined with phacoemulsification and primary intraocular lens implantation can be performed for the repair of primary rhegmatogenous retinal detachment (RRD; PHACOVIT group). The safety and efficacy of this combined ophthalmic procedure on RRD surgery outcomes remain unclear compared with more conventional PPV technique alone (VITRET group). We explored the need for reoperation after primary surgical procedure in these two groups. Methods: Retrospective, longitudinal, register-based cohort of RRD patients was operated in University Eye Clinic, Helsinki, Finland, during 2008–2014. The main outcome measure was reoperation rate during a postoperative follow-up period of 1 year due to retinal re-detachment, vitreous rehemorrhage, postoperative endophthalmitis, secondary pucker, macular hole or other reasons. Results: We analyzed 1,690 consecutive RRD cases, out of which 1,564 patients were treated in the PPV VITRET group and 126 patients in the PHACOVIT-operated group. Risk for reoperation was 2.67 times higher in the PHACOVIT group compared to the PPV VITRET group (95% CI 1.85–3.85). Conclusion: The reoperation rate was higher in RRD eyes operated with combined cataract surgery plus PPV, suggesting that RRD eyes should not primarily undergo combined PHACOVIT surgery. Keywords: cataract surgery, rhegmatogenous retinal detachment, proliferative vitreoretinopathy, cohort study, epidemiology, vitreoretinal surgery, statin therapy
format article
author Loukovaara S
Haukka J
author_facet Loukovaara S
Haukka J
author_sort Loukovaara S
title Repair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation
title_short Repair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation
title_full Repair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation
title_fullStr Repair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation
title_full_unstemmed Repair of primary RRD – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation
title_sort repair of primary rrd – comparing pars plana vitrectomy procedure with combined phacovitrectomy with standard foldable intraocular lens implantation
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/345b271461c34ef7a71ed645271e9f7d
work_keys_str_mv AT loukovaaras repairofprimarynbsprrdndashnbspcomparingparsplanavitrectomyprocedurewithcombinedphacovitrectomywithstandardfoldableintraocularlensimplantation
AT haukkaj repairofprimarynbsprrdndashnbspcomparingparsplanavitrectomyprocedurewithcombinedphacovitrectomywithstandardfoldableintraocularlensimplantation
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