Risk factors for macular pucker after rhegmatogenous retinal detachment surgery

Abstract Macular pucker, also known as an epiretinal membrane, sometimes forms after surgical repair of a rhegmatogenous retinal detachment (RRD) and can decrease visual acuity and cause aniseikonia. However, few reports are evaluating the risk factors of macular pucker using multivariate analysis....

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Autores principales:	Toshiaki Hirakata, Yoshimune Hiratsuka, Shutaro Yamamoto, Koki Kanbayashi, Hiroaki Kobayashi, Akira Murakami
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3657501138ad494db2b6b2ac62d8a353
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spelling	oai:doaj.org-article:3657501138ad494db2b6b2ac62d8a3532021-12-02T15:16:05ZRisk factors for macular pucker after rhegmatogenous retinal detachment surgery10.1038/s41598-021-97738-x2045-2322https://doaj.org/article/3657501138ad494db2b6b2ac62d8a3532021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-97738-xhttps://doaj.org/toc/2045-2322Abstract Macular pucker, also known as an epiretinal membrane, sometimes forms after surgical repair of a rhegmatogenous retinal detachment (RRD) and can decrease visual acuity and cause aniseikonia. However, few reports are evaluating the risk factors of macular pucker using multivariate analysis. To evaluate the risk factors for macular pucker after RRD surgery, 226 patients who underwent RRD surgery and were monitored for greater than 12 months (23.2 ± 6.4 months) after surgery were analyzed retrospectively. Of these cases, macular pucker developed in 26 cases. Multiple logistic regression models of 22 clinical characteristics were performed. An increased risk of macular pucker after RRD surgery was significantly associated with preoperative vitreous haemorrhage (Odds ratio (OR), 4.71; 95% CI 1.19–18.62), multiple retinal breaks (OR, 8.07; 95% CI 2.35–27.71), re-detachment (OR, 19.66; 95% CI 4.87–79.38), and retinal detachment area (OR, 12.91; 95% CI 2.34–71.19). Macular pucker was not associated with the surgical technique. Regardless of the surgical technique used, careful observation for postoperative macular pucker is needed after RRD surgery in high-risk cases. These findings can be used to improve the surgical management of patients with RRD. (183 words).Toshiaki HirakataYoshimune HiratsukaShutaro YamamotoKoki KanbayashiHiroaki KobayashiAkira MurakamiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Toshiaki Hirakata Yoshimune Hiratsuka Shutaro Yamamoto Koki Kanbayashi Hiroaki Kobayashi Akira Murakami Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
description	Abstract Macular pucker, also known as an epiretinal membrane, sometimes forms after surgical repair of a rhegmatogenous retinal detachment (RRD) and can decrease visual acuity and cause aniseikonia. However, few reports are evaluating the risk factors of macular pucker using multivariate analysis. To evaluate the risk factors for macular pucker after RRD surgery, 226 patients who underwent RRD surgery and were monitored for greater than 12 months (23.2 ± 6.4 months) after surgery were analyzed retrospectively. Of these cases, macular pucker developed in 26 cases. Multiple logistic regression models of 22 clinical characteristics were performed. An increased risk of macular pucker after RRD surgery was significantly associated with preoperative vitreous haemorrhage (Odds ratio (OR), 4.71; 95% CI 1.19–18.62), multiple retinal breaks (OR, 8.07; 95% CI 2.35–27.71), re-detachment (OR, 19.66; 95% CI 4.87–79.38), and retinal detachment area (OR, 12.91; 95% CI 2.34–71.19). Macular pucker was not associated with the surgical technique. Regardless of the surgical technique used, careful observation for postoperative macular pucker is needed after RRD surgery in high-risk cases. These findings can be used to improve the surgical management of patients with RRD. (183 words).
format	article
author	Toshiaki Hirakata Yoshimune Hiratsuka Shutaro Yamamoto Koki Kanbayashi Hiroaki Kobayashi Akira Murakami
author_facet	Toshiaki Hirakata Yoshimune Hiratsuka Shutaro Yamamoto Koki Kanbayashi Hiroaki Kobayashi Akira Murakami
author_sort	Toshiaki Hirakata
title	Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_short	Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_full	Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_fullStr	Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_full_unstemmed	Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_sort	risk factors for macular pucker after rhegmatogenous retinal detachment surgery
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3657501138ad494db2b6b2ac62d8a353
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Risk factors for macular pucker after rhegmatogenous retinal detachment surgery

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