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Surgical outcomes for primary rhegmatogenous retinal detachments in phakic and pseudophakic patients: the Retina 1 Project—report 2
  1. J C Pastor1,2,
  2. I Fernández1,3,
  3. E Rodríguez de la Rúa1,2,
  4. R Coco1,
  5. M R Sanabria- Ruiz Colmenares1,4,
  6. D Sánchez- Chicharro1,2,
  7. Rui Martinho5,
  8. J M Ruiz Moreno6,
  9. J García Arumi7,
  10. M Suárez de Figueroa8,
  11. A Giraldo2,
  12. L Manzanas2
  1. 1
    IOBA, University of Valladolid, Valladolid, Spain
  2. 2
    Hospital Clínico Universitario, Valladolid, Spain
  3. 3
    CIBER-BNN, Valladolid, Spain
  4. 4
    Hospital Universitario Río Hortega, Valladolid, Spain
  5. 5
    Hospital San Joao, Porto, Portugal
  6. 6
    IOA-Vissum, Alicante, Spain
  7. 7
    Hospital Universitari Vall de Hebron, Barcelona, Spain
  8. 8
    Hospital Ramón y Cajal, Madrid, Spain
  1. Dr J C Pastor Jimeno, IOBA, Edificio Ciencias de la Salud, C/ Ramón y Cajal 5, 47005 Valladolid, Spain; pastor{at}ioba.med.uva.es

Abstract

Aims: To compare anatomical and functional outcomes for 546 phakic and pseudophakic primary rhegmatogenous retinal detachments (RDs) treated by pars plana vitrectomy or scleral buckling.

Methods: Prospective, non-randomised, interventional study in 15 centres in Spain and Portugal, with data from RDs consecutively treated from January 2005 to May 2007. Cases with preoperative proliferative vitreoretinopathy grade C-1 or higher and perforating trauma were excluded. Minimum follow-up was 3 months. Twenty-seven pre-, intra- and post-surgical variables for each patient were analysed. Multivariate analysis was carried out by logistic regression analysis with stepwise selection of variables.

Results: Data from 546 patients were analysed. Global anatomical success was 94.7%. Logistic regression analysis showed that only the development of postoperative proliferative vitreoretinopathy was associated with a poor anatomical outcome. The poorest functional results were associated with macular involvement, extension of RD, previous RD surgery, time of evolution of RD, and age of patient. Hierarchical log-linear analysis showed no effect of the lens status (phakic versus pseudophakic) on the functional results. However, pars plana vitrectomy was most often performed in pseudophakic eyes and resulted in a worse final visual acuity (p<0.001).

Conclusions: No differences in anatomical success between phakic and pseudophakic eyes were found in this series. Pars plana vitrectomy was most often performed in pseudophakic eyes and had a greater probability of a worse final visual acuity than scleral buckling.

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Footnotes

  • Competing interests: None declared.

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