Abstract | PURPOSE: METHODS: This is a nation-wide, multicenter, observational study based on the registry data between 2016 and 2017. The failure levels were defined as Level 1 (a failure of retinal detachment repair), Level 2 (remaining silicone oil), and Level 3 (multiple surgeries to achieve reattachment). We compared cases treated by SB or PPV in the subgroup of simple rhegmatogenous retinal detachment using multivariate Cox proportional hazard models. RESULTS: A total of 2,775 cases were included. Overall, 6 months any levels of failure in total, SB, PPV, and PPV+SB were 9.2% (n = 256), 6.9% (n = 48), 8.2% (n = 157), and 21.3% (n = 51), respectively. Poor visual acuity at baseline in SB and inferior rhegmatogenous retinal detachment and larger retinal tear in PPV were associated with a higher risk of failure. Pars plana vitrectomy was associated with a higher chance of achieving primary success in cases with simple RRD, especially for cases with superior RRD (adjusted hazard ratio 3.61, 95% confidence interval 2.22-5.94, P < 0.001). CONCLUSION: In this nationwide study, surgical anatomic outcomes were equally successful in either SB or PPV. There were different baseline characteristics associated with primary success between SB and PPV.
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Authors | Takashi Koto, Ryo Kawasaki, Keita Yamakiri, Takayuki Baba, Koichi Nishitsuka, Akito Hirakata, Taiji Sakamoto, Japan-Retinal Detachment Registry Group |
Journal | Retina (Philadelphia, Pa.)
(Retina)
Vol. 41
Issue 6
Pg. 1164-1173
(Jun 01 2021)
ISSN: 1539-2864 [Electronic] United States |
PMID | 33079792
(Publication Type: Journal Article, Multicenter Study, Observational Study)
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Chemical References |
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Topics |
- Endotamponade
(methods)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Registries
- Retinal Detachment
(surgery)
- Retrospective Studies
- Scleral Buckling
(methods)
- Silicone Oils
(pharmacology)
- Treatment Outcome
- Visual Acuity
- Vitrectomy
(methods)
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