PT  - JOURNAL ARTICLE
AU  - Pastor, J C
AU  - Fernández, I
AU  - de la Rúa, E Rodríguez
AU  - Coco, R
AU  - Colmenares, M R Sanabria- Ruiz
AU  - Chicharro, D Sánchez-
AU  - Martinho, Rui
AU  - Moreno, J M Ruiz
AU  - Arumi, J García
AU  - de Figueroa, M Suárez
AU  - Giraldo, A
AU  - Manzanas, L
TI  - Surgical outcomes for primary rhegmatogenous retinal detachments in phakic and pseudophakic patients: the Retina 1 Project—report 2
AID  - 10.1136/bjo.2007.129437
DP  - 2008 Mar 01
TA  - British Journal of Ophthalmology
PG  - 378--382
VI  - 92
IP  - 3
4099  - http://bjo.bmj.com/content/92/3/378.short
4100  - http://bjo.bmj.com/content/92/3/378.full
SO  - Br J Ophthalmol2008 Mar 01; 92
AB  - 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.