Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 May 1;34(3):211-217.
doi: 10.1097/ICU.0000000000000942. Epub 2023 Mar 1.

Primary Retinal Detachment Outcomes Study: summary of reports number 1 to number 18

Matthew R Starr  1 , Edwin H Ryan  2 , Yoshihiro Yonekawa  3
Affiliations
Review

Primary Retinal Detachment Outcomes Study: summary of reports number 1 to number 18

Matthew R Starr et al. Curr Opin Ophthalmol. .

Abstract

Purpose of review: To highlight the recent work published from the Primary Retinal Detachment Outcomes (PRO) Study Group.

Recent findings: The PRO database was a large dataset made up of patients with primary rhegmatogenous retinal detachments (RRD) who had surgical repair during 2015. The database was constituted of nearly 3000 eyes from 6 centers across the United States and included 61 vitreoretinal surgeons. Nearly 250 metrics were collected for each patient, creating one of the richest datasets of patients with primary rhegmatogenous detachments and their outcomes. The importance of scleral buckling was demonstrated, particularly for phakic eyes, elderly patients, and those with inferior breaks. 360° laser may result in poorer outcomes. Cystoid macular edema was common, and risk factors were identified. We also found risk factors for vision loss in eyes presenting with good vision. A PRO Score was devised, to predict outcomes based on presenting clinical characteristics. We also identified characteristics of surgeons with the highest single surgery success rates. Overall, there were no major outcome differences between viewing systems, gauges, buckles sutured vs. scleral tunnels, drainage method, and techniques to address proliferative vitreoretinopathy. All incisional techniques were found to be very cost-effective treatment modalities.

Summary: Numerous studies resulted from the PRO database that significantly added to the literature regarding the repair of primary RRDs in the current era of vitreoretinal surgery.

PubMed Disclaimer

References

    1. McLaughlin MD, Hwang JC. Trends in vitreoretinal procedures for medicare beneficiaries, 2000 to 2014. Ophthalmology 2017; 124:667–673.
    1. Minihan M, Tanner V, Williamson TH. Primary rhegmatogenous retinal detachment: 20 years of change. Br J Ophthalmol 2001; 85:546–548.
    1. Schwartz SG, Flynn HW. Primary retinal detachment: scleral buckle or pars plana vitrectomy? Curr Opin Ophthalmol 2006; 17:245–250.
    1. Feltgen N, Heimann H, Hoerauf H, et al. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study (SPR study): risk assessment of anatomical outcome. SPR study report no. 7. Acta Ophthalmol 2013; 91:282–287.
    1. Heussen N, Hilgers RD, Heimann H, et al. SPR study group. Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study (SPR study): multiple-event analysis of risk factors for reoperations. SPR Study report no. 4. Acta Ophthalmol 2011; 89:622–628.