Artikel
Predicitive parameters for functional and anatomic outcome of rhegmatogenous retinal detachment surgery in phakic eyes
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Autoren
Veröffentlicht: | 22. September 2004 |
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Gliederung
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Objective
Permanent retinal re-attachment and best potential visual acuity are the main goals of retinal detachment (RD) surgery. Various RD characteristics as well as RD surgery parameters are known to affect the anatomical and functional outcome.
Methods
Retrospectively we analyzed 163 consecutive patients with phakic retinal detachment. The mean follow-up was 37 months (95% [CI]: 16,3 - 50 months). 16 RD characteristics and RD surgery parameters were analyzed. Additionally we determined the power of all significant parameters using a stepwise regression analysis.
Results
The overall re-attachment rate was 100%. 120 (74%) patients required only one surgical procedure for permanent retinal re-attachment. 28 patients (17%) needed 1, 11 (7%) needed 2 and 4 (2%) needed 3 additional retinal surgery interventions. The pre-operative spherical equivalent was the only predictable parameter associated with the number of surgical procedures whereas the area of detached retina, number of retinal breaks and the presence of primary PVR were not. Visual acuity at the time of RD was 0,2 (95% [CI]: 0,001 - 1,0) compared to 0,6 (95% [CI]: 0,04 - 1,0) at the end of follow-up (p<0,0001; paired t-Test). The area of detached retina and macular off RD were predictable parameters for reduced visual acuity at the end of follow-up whereas number of retinal breaks and primary PVR were not.
Conclusions
RD of advanced clinical stages like large area of detached retinal, primary PVR, multiple retinal breaks and macula-off RD can be successfully re-attached with a significant increase in visual acuity using modern RD surgical procedures.