The effect of duration of macular detachment on results after the scleral buckle repair of primary, macula-off retinal detachments
Section snippets
Materials and methods
We retrospectively reviewed the records of 324 consecutive patients with RRD who sought treatment from four surgeons (TH, GW, AR, BG) during a 2-year period (June 1, 1996–July 1, 1998). We used extensive inclusion criteria to achieve the patient database for this series. All included eyes had a primary, macula-off RRD with a VA of 20/200 or less. Only eyes in patients who could time the onset of significant visual loss accurately to a specific 24-hour period were considered. Eyes in patients in
Results
All 94 patients could time the onset of significant visual loss to a 1-day period if they were included in the acute group and to a 3-day period if included in the subacute and chronic groups. Eyes from 56 men and 38 women were evaluated. The mean patient age was 61.5 years (range, 15–92 years), with 42 patients 60 years of age or younger, 36 patients between 61 and 75 years of age, and 16 patients more than 75 years of age. Before surgery, 52 eyes were phakic, 2 were aphakic, and 40 were
Discussion
Scleral buckling remains a primary surgical technique for the repair of uncomplicated RRD despite the development and acceptance of other options in recent years.1, 28, 29 Numerous studies have correlated a wide array of preoperative factors with both favorable and poor anatomic and VA outcomes after SB.7, 8, 10, 11, 12, 13, 15, 16, 17, 18, 19, 20, 22, 23, 24, 25, 26, 27, 30 Burton and Lambert30 isolated 22 factors that may affect operative results, none of which could be altered readily by the
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Impact of the Time to Surgery on Visual Outcomes for Rhegmatogenous Retinal Detachment Repair: A Meta-Analysis
2022, American Journal of OphthalmologyCitation Excerpt :Yang and associates30 found that macula-off RRD repair in 0-7 days from symptom onset had an increased RR of final BCVA <0.4 logMAR compared with >7 days, but only included patients receiving SB and excluded patients with partial macular involvement. Two studies conducted statistical adjustment for confounding,15,16,22,26,30 whereas most included studies controlled for potential confounders through strict inclusion and exclusion criteria.11,13–16,21,23,27–31,33–35 Doyle and associates26 conducted univariable then multivariable logistic regression assessing age, time to repair, preoperative BCVA, number of involved quadrants, surgeon experience, lens status, and presence of proliferative vitreoretinopathy on anatomic and visual outcomes.
Longitudinal Assessment of Ellipsoid Zone Recovery Using En Face Optical Coherence Tomography After Retinal Detachment Repair
2022, American Journal of OphthalmologyAn Evaluation of the Repeatability of Visual Function Following Surgical Repair of Macula-Off Rhegmatogenous Retinal Detachment
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