Incidence and Risk Factors Affecting the Recurrence of Primary Retinal Detachment in a Tertiary Hospital in Spain

Irigoyen, Cristina; Goikoetxea-Zubeldia, Ainhoa; Sanchez-Molina, Jorge; Alonso, Asier Amenabar; Ruiz-Miguel, Miguel; Iglesias-Gaspar, Maria Teresa

doi:10.3390/jcm11154551

Cited by 3 publications

(1 citation statement)

References 36 publications

(46 reference statements)

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“…According to the previous literatures, the possible risk factors for Re RD after anatomical successful RRD surgery are male gender, poor baseline BCVA, hypotony, pseudophakic status, long-standing RRD, inferior breaks, presence of PVR (especially Grade ≥ C), and type of tamponade. 15 , 17 , 18 In logistic regression analysis, we showed that lower BCVA before the initial surgery (probably an indicator of complicated RD), had a statistically significant relationship with the occurrence of unplanned reoperation, and other variables including primary diagnosis, lens status, and type of primary surgery and tamponade did not have significant relations with the occurrence of unplanned return to the operation room. In addition, for demographic factors including age and sex variables, there were no significant differences in cases with unplanned reoperations compared to those without, similar to the Stewart et al .’s 7 study.…”

Section: Discussionmentioning

confidence: 85%

Unplanned Reoperation following Vitreoretinal Surgery

Akbarzadeh,

Zand,

Rahimi

et al. 2023

Journal of Current Ophthalmology

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Purpose: To evaluate the incidence of unplanned return to the operating room following vitreoretinal surgery and assess the reasons. Methods: In this retrospective case series, medical records of all patients who underwent vitreoretinal surgery were reviewed to determine the incidence and reasons of early (<30 days postoperatively) and late (≥30 days postoperatively) unplanned reoperations after the surgery. Results: A total of 488 eyes of 468 patients with a mean age of 55.84 ± 18.23 years were included. Fourteen percent (68/488) of eyes required one or more unplanned reoperation following their primary surgery. These include 3.9% (19/488) for the early and 10.0% (49/488) for the late reoperation. The most common primary reason for baseline surgery was rhegmatogenous retinal detachment (RRD) without proliferative vitreoretinopathy (PVR, 38.2%), followed by RD with PVR (23.5%), and tractional RD (TRD, 19.1%). Unplanned reoperations were most common in RD with PVR (19.3%), RRD without PVR (17.2%), and TRD (14.4%). Overall, the most common reasons of the first unplanned reoperation were repeated RD with PVR (27.9%), repeated RD (19.1%), and the presence of silicone oil (SO) in the anterior chamber (AC) (10.3%). For early unplanned reoperations, SO in AC, postoperative endophthalmitis, and persistent hyphema were the most common causes. Repeated RD with PVR was the most prevalent cause of late unplanned reoperations (34.7%). In the multivariate analysis, preoperative best-corrected visual acuity (BCVA) was significantly lower in eyes with unplanned reoperation than in eyes without (P = 0.011). Conclusions: Unplanned reoperation following vitreoretinal surgery is not very common, and occurs mostly in the setting of PVR, RRD, and TRD. Lower preoperative BCVA may indicate an increased chance of future unplanned reoperation(s).

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