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. 2022 Dec;42(12):3813-3820.
doi: 10.1007/s10792-022-02401-7. Epub 2022 Jul 8.

Recurrent retinal detachment after pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment

Yan Fu  1 , Tian-Hao Xie  2 , Zhao-Hui Gu  3 , Na Yang  4 , Ren-Fei Geng  4 , Yue-Ling Zhang  4
Affiliations

Recurrent retinal detachment after pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment

Yan Fu et al. Int Ophthalmol. 2022 Dec.

Abstract

Background: The recurrence of retinal detachment following rhegmatogenous retinal detachment (RRD) is a relatively common complication that can lead to reduced visual acuity and requires further surgery. The purpose of this study was to investigate the risk factors and visual outcomes of recurrent RRD following pars plana vitrectomy (PPV) with silicone oil tamponade for primary RRD.

Methods: This was a retrospective follow-up study of 343 eyes that underwent initial PPV surgery with silicone oil tamponade for primary RRD. Patients were divided into a recurrence group and a reattachment group. The main outcome measures included causative factors, visual outcomes related to the recurrence of RRD, and the perioperative factors most affecting the recurrence of RRD.

Results: After retinal reattachment, we observed RRD recurrence after PPV for primary RRD in 42 out of 343 eyes (12.2%) during the follow-up period. Most causes of recurrence (69%) occurred within 6 months of surgery. Multivariate logistic regression analysis showed that a PVR ≥ Grade C (odds ratio [OR]: 4.015; 95% confidence interval [CI] 1.721-9.367; P = 0.001) was a significant predictor for the development of recurrent RRD. Compared with the reattachment group, the recurrence group exhibited a significant decline in best-corrected visual acuity (BCVA) at the last follow-up visit (P = 0.000). Eyes with PVR prior to primary surgery, or at the diagnosis of re-detachment, showed a worse final BCVA.

Conclusions: Our analysis shows that the predominant risk factor for the recurrence of RRD is a PVR ≥ Grade C. PVR prior to primary surgery, or at the diagnosis of re-detachment, was also shown to limit the recovery of final visual acuity.

Keywords: Proliferative vitreoretinopathy; Retinal detachment; Visual outcome; Vitrectomy.

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References

    1. Quiram PA, Gonzales CR, Hu W et al (2006) Outcomes of vitrectomy with inferior retinectomy in patients with recurrent rhegmatogenous retinal detachments and proliferative vitreoretinopathy. Ophthalmology 113:2041–2047 - DOI - PubMed
    1. Tseng W, Cortez RT, Ramirez G et al (2004) Prevalence and risk factors for proliferative vitreoretinopathy in eyes with rhegmatogenous retinal detachment but no previous vitreoretinal surgery. Am J Ophthalmol 137:1105–1115 - DOI - PubMed
    1. Goto T, Nakagomi T, Iijima H (2013) A comparison of the anatomic successes of primary vitrectomy for rhegmatogenous retinal detachment with superior and inferior breaks. Acta Ophthalmol 91:552–556 - DOI - PubMed
    1. Enders P, Schick T, Kemper C et al (2017) Effect of symptom duration until surgery on first-year outcome in pseudophakic primary rhegmatogenous retinal detachment. Ophthalmologica 237:73–77 - DOI - PubMed
    1. Heimann H, Zou X, Jandeck C et al (2006) Primary vitrectomy for rhegmatogenous retinal detachment: an analysis of 512 cases. Graefes Arch Clin Exp Ophthalmol 244:69–78 - DOI - PubMed

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