Outcomes of Recurrent Retinal Detachment Surgery following Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Ambiya, Vikas; Rani, Padmaja Kumari; Narayanan, Raja; Balakrishnan, Divya; Chhablani, Jay; Jalali, Subhadra; Tyagi, Mudit; Pappuru, Rajeev Reddy

doi:10.1080/08820538.2017.1395893

Cited by 21 publications

(33 citation statements)

References 14 publications

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“…This inconsistency may be related to the frequency of follow-up visits. Overall, we found that the rate of total final success was 97.6%; these findings were comparable to those reported by previous studies [10,11].…”

Section: Discussionsupporting

confidence: 91%

“…Previous studies have reported that a wide variety of risk factors are associated with the recurrence of RD after RRD repair, including proliferative vitreoretinopathy (PVR) [12], inferior breaks [3], the duration of preoperative symptoms until surgery [13], lens status [14], vitreous hemorrhage [15], undetectable retinal tear [16], the extent of detachment [5], high myopia [17] and hypotonia [18], and the presence of multiple breaks [10]. Unlike these previous studies, our present study failed to identify significant differences between the groups of patients with recurrent and reattached RD with regards to age, gender, lens status, the number of breaks, detachment duration, the extent of the retinal detachment, high myopia, macula status, PVD, giant retinal tears, choroidal detachment, the use of perfluorocarbon liquid, retinectomy, and combined cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent Retinal Detachment after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Fu¹,

Xie²,

Gu³

et al. 2020

Preprint

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Background The recurrence of retinal detachment (RD) following rhegmatogenous retinal detachment (RRD) is a relatively common complication that threatens vision and needs further surgery. The purpose of this study is to investigate the risk factors and visual outcomes of recurrent RD following pars plana vitrectomy (PPV) for primary RRD.Methods This was a retrospective follow-up of 343 eyes that underwent initial PPV surgery for primary RRD. Patients were divided into a recurrence group and a reattachment group. The main outcome measures included the causative factors, visual outcomes of RD recurrence, and the perioperative factors most affecting the recurrence of RD.Results After retinal reattachment, we observed recurrence of RD after PPV for primary RRD in 42 out of 343 eyes (12.2%) during the follow-up period. Most recurrence (69%) occurred within 6 months after surgery. Univariate analysis showed that the primary risk factor significantly associated with recurrent RD was the presence of proliferative vitreoretinopathy (PVR) ≥ Grade C ( P = 0.003). Logistic regression analysis showed that a PVR ≥ Grade C (odds ration [OR]: 9.421, 95% confidence interval [CI]: 2.432 - 56.39; P =0.020) was a significant predictor for the development of recurrent RD. The recurrence of RD resulted in a significant decline in best-corrected visual acuity (BCVA) at the last follow-up visit compared with the reattachment group ( P =0.000). Eyes with PVR prior to primary surgery or at the diagnosis of re-detachment showed a worse final BCVA.Conclusions The presence of PVR ≥ Grade C was the predominant risk factor for the recurrence of RD. PVR prior to primary surgery, or at the diagnosis of re-detachment, limited the recovery of final visual acuity.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Recurrent Retinal Detachment after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Fu¹,

Xie²,

Gu³

et al. 2020

Preprint

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“…Majority of the studies quote PVR ≥ Grade C, anterior and inferior PVR to be associated with a higher risk re-RD. [ 6 7 8 9 10 11 12 13 14 15 16 17 19 20 21 22 26 ] It was previously reported that 86% of eyes with re-RD after vitrectomy have a component of anterior PVR[ 27 ] and eyes with anterior PVR have poorer surgical prognosis than those with posterior PVR. [ 28 ]…”

Section: Risk Factors Relating To Redetachmentmentioning

confidence: 99%

“…Surgical causes include multiple surgeries,[ 2 11 18 20 ] incomplete removal of the vitreous base and shaving,[ 19 20 ] retinectomies, and relaxing retinotomies. [ 33 ]…”

Section: Risk Factors Relating To Redetachmentmentioning

confidence: 99%

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Management of recurrent rhegmatogenous retinal detachment

Nagpal¹,

Chaudhary²,

Wachasundar³

et al. 2018

Indian J Ophthalmol

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Rhegmatogenous retinal detachment (RRD) repair is one of the most common vitreoretinal surgeries a surgeon performs. In an ideal scenario, RRD can be repaired with a single surgical intervention; however, despite excellent skill, flawless technique, and the introduction of high-end technology, up to 10% of cases require additional interventions to ultimately repair recurrent detachments. It is thus important to study the outcomes of multiple interventions to understand whether performing repeat vitrectomy on patients with a history of failed surgeries is worthwhile. Thus, recurrent retinal detachment (re-RD) remains a significant challenge for vitreoretinal surgeons as well as the patients considering the economic and the emotional burden of undergoing multiple interventions. The advent of microincision vitrectomy system, perfluorocarbon liquids, and effective intraocular tamponades has opened new doors for managing re-RDs. In this article, we have reviewed and summarized the various causes and approaches for management for optimal anatomical and functional outcomes.

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A possible strategic role of air during pars plana vitrectomy for macula-involving rhegmatogenous retinal detachment

et al. 2020

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Outcomes of Recurrent Retinal Detachment Surgery following Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Cited by 21 publications

References 14 publications

Recurrent Retinal Detachment after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Recurrent Retinal Detachment after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Management of recurrent rhegmatogenous retinal detachment

A possible strategic role of air during pars plana vitrectomy for macula-involving rhegmatogenous retinal detachment

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