Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment

AIM: To analyze the anatomical and functional outcomes in the inferior recurrences of rhegmatogenous retinal detachment (RRD) depending on the surgical approach. METHODS: Eighty-one eyes of 81 patients (47 males and 34 females with a mean age of 54.8±14.1y) who demonstrated at least one inferior rec...

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Autores principales:	Sergey V. Churashov, Tatiana N. Shevalova, Alexei N. Kulikov, Dmitrii S. Maltsev
Formato:	article
Lenguaje:	EN
Publicado:	Press of International Journal of Ophthalmology (IJO PRESS) 2021
Materias:	rhegmatogenous retinal detachment pars plana vitrectomy scleral buckling retinotomy recurrence rate Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/8c400070a39c44a986e8b1d28352c77b
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spelling	oai:doaj.org-article:8c400070a39c44a986e8b1d28352c77b2021-11-26T04:02:12ZSurgical outcomes in inferior recurrences of rhegmatogenous retinal detachment2222-39592227-489810.18240/ijo.2021.12.15https://doaj.org/article/8c400070a39c44a986e8b1d28352c77b2021-12-01T00:00:00Zhttp://ies.ijo.cn/en_publish/2021/12/20211215.pdfhttps://doaj.org/toc/2222-3959https://doaj.org/toc/2227-4898AIM: To analyze the anatomical and functional outcomes in the inferior recurrences of rhegmatogenous retinal detachment (RRD) depending on the surgical approach. METHODS: Eighty-one eyes of 81 patients (47 males and 34 females with a mean age of 54.8±14.1y) who demonstrated at least one inferior recurrence of RRD were included in this retrospective study. All patients were categorized as having received either circular scleral buckling (SB), pars plana vitrectomy (PPV), a combination of SB and PPV (SB+PPV), PPV with retinotomy (PPV+RT), or PPV+RT and short-term postoperative perfluorocarbon liquid tamponade (PPV+RT+pPFCL). All cases were followed up until successful retinal reattachment or third recurrence. The primary outcome measures were the achievement of the surgical goal without recurrence of RRD and best-corrected visual acuity (BCVA). RESULTS: After the treatment of the first recurrence, the recurrence rate in the PPV+SB group was statistically significantly lower than that of the PPV (P=0.0012), PPV+RT (P=0.028), or PPV+RT+pPFCL (P=0.047) group. There was no statistically significant difference between PPV+SB, PPV+RT, and PPV+RT+pPFCL groups in the recurrence rate after treatment of the second recurrence (42 eyes). However, there was a statistically significant (P=0.016) trend towards a decrease of recurrence rate after PPV+RT+pPFCL. There was no statistically significant improvement of BCVA in either study group (P>0.05) after both first and second recurrence surgery. The mean time follow-up was 109.0±91.0d before the first recurrence and 210.0±186.6d between previous surgery at second recurrence. CONCLUSION: Patients with first inferior recurrence of RRD may benefit from SB as an adjunct to PPV. RT and short-term pPFCL tamponade in the second recurrence may allow better anatomical outcomes, however, without functional improvement.Sergey V. ChurashovTatiana N. ShevalovaAlexei N. KulikovDmitrii S. MaltsevPress of International Journal of Ophthalmology (IJO PRESS)articlerhegmatogenous retinal detachmentpars plana vitrectomyscleral bucklingretinotomyrecurrence rateOphthalmologyRE1-994ENInternational Journal of Ophthalmology, Vol 14, Iss 12, Pp 1909-1914 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	rhegmatogenous retinal detachment pars plana vitrectomy scleral buckling retinotomy recurrence rate Ophthalmology RE1-994
spellingShingle	rhegmatogenous retinal detachment pars plana vitrectomy scleral buckling retinotomy recurrence rate Ophthalmology RE1-994 Sergey V. Churashov Tatiana N. Shevalova Alexei N. Kulikov Dmitrii S. Maltsev Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment
description	AIM: To analyze the anatomical and functional outcomes in the inferior recurrences of rhegmatogenous retinal detachment (RRD) depending on the surgical approach. METHODS: Eighty-one eyes of 81 patients (47 males and 34 females with a mean age of 54.8±14.1y) who demonstrated at least one inferior recurrence of RRD were included in this retrospective study. All patients were categorized as having received either circular scleral buckling (SB), pars plana vitrectomy (PPV), a combination of SB and PPV (SB+PPV), PPV with retinotomy (PPV+RT), or PPV+RT and short-term postoperative perfluorocarbon liquid tamponade (PPV+RT+pPFCL). All cases were followed up until successful retinal reattachment or third recurrence. The primary outcome measures were the achievement of the surgical goal without recurrence of RRD and best-corrected visual acuity (BCVA). RESULTS: After the treatment of the first recurrence, the recurrence rate in the PPV+SB group was statistically significantly lower than that of the PPV (P=0.0012), PPV+RT (P=0.028), or PPV+RT+pPFCL (P=0.047) group. There was no statistically significant difference between PPV+SB, PPV+RT, and PPV+RT+pPFCL groups in the recurrence rate after treatment of the second recurrence (42 eyes). However, there was a statistically significant (P=0.016) trend towards a decrease of recurrence rate after PPV+RT+pPFCL. There was no statistically significant improvement of BCVA in either study group (P>0.05) after both first and second recurrence surgery. The mean time follow-up was 109.0±91.0d before the first recurrence and 210.0±186.6d between previous surgery at second recurrence. CONCLUSION: Patients with first inferior recurrence of RRD may benefit from SB as an adjunct to PPV. RT and short-term pPFCL tamponade in the second recurrence may allow better anatomical outcomes, however, without functional improvement.
format	article
author	Sergey V. Churashov Tatiana N. Shevalova Alexei N. Kulikov Dmitrii S. Maltsev
author_facet	Sergey V. Churashov Tatiana N. Shevalova Alexei N. Kulikov Dmitrii S. Maltsev
author_sort	Sergey V. Churashov
title	Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment
title_short	Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment
title_full	Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment
title_fullStr	Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment
title_full_unstemmed	Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment
title_sort	surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment
publisher	Press of International Journal of Ophthalmology (IJO PRESS)
publishDate	2021
url	https://doaj.org/article/8c400070a39c44a986e8b1d28352c77b
work_keys_str_mv	AT sergeyvchurashov surgicaloutcomesininferiorrecurrencesofrhegmatogenousretinaldetachment AT tatiananshevalova surgicaloutcomesininferiorrecurrencesofrhegmatogenousretinaldetachment AT alexeinkulikov surgicaloutcomesininferiorrecurrencesofrhegmatogenousretinaldetachment AT dmitriismaltsev surgicaloutcomesininferiorrecurrencesofrhegmatogenousretinaldetachment
_version_	1718409913943719936

Surgical outcomes in inferior recurrences of rhegmatogenous retinal detachment

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