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A multivariate analysis of anatomic success of retinal detachments treated with scleral buckling

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Abstract

One hundred and twenty-three preoperative, intraoperative, and postoperative variables were evaluated to assess their effect on anatomic success of scleral buckling for retinal detachment. The relative importance of each variable was tested in a logistic regression equation. This equation identified ten significant variables for predicting the outcome of retinal detachment surgery. The significant variables were: preoperative proliferative vitreoretinopathy (adjusted odds ratio, AOR, 13.60), previous buckle by G.F. Hilton (AOR = 8.03), total detachment (AOR = 5.72), preoperative vitreous hemorrhage (AOR = 3.08), tension less than 10 mm Hg (AOR = 2.40), hemorrhagic complications (AOR = 2.62), previous buckles by others (AOR = 2.10), injection into the vitreous at surgery with either saline or balanced salt solution (AOR = 2.32) or air/sulfahexafluoride (AOR = 7.06), and preoperative vision less than 0.3 (20/60 or worse) (AOR = 2.14). The number of cryopexy applications was specifically tested in the equation, but while significant in a univariate analysis, it was not found to be significant in the multivariate analysis.

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Authors and Affiliations

  1. Department of Ophthalmology, University of South Florida College of Medicine, Tampa, Florida, USA

    W. Sanderson Grizzard & Mark E. Hammer

  2. Department of Ophthalmology, University of California, San Francisco, California, USA

    George F. Hilton

  3. College of Public Health, University of South Florida, Tampa, Florida, USA

    Douglas Taren

Authors
  1. W. Sanderson Grizzard
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  2. George F. Hilton
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  3. Mark E. Hammer
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  4. Douglas Taren
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Grizzard, W.S., Hilton, G.F., Hammer, M.E. et al. A multivariate analysis of anatomic success of retinal detachments treated with scleral buckling. Graefe's Arch Clin Exp Ophthalmol 232, 1–7 (1994). https://doi.org/10.1007/BF00176431

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  • DOI: https://doi.org/10.1007/BF00176431

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