Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks

Purpose. In this retrospective study, we evaluated the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment primarily treated with pars plana vitrectomy in regard to the location of the breaks. Methods. 160 eyes were enrolled in this study, divided into two groups ba...

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Main Authors: Panagiotis Stavrakas, Paris Tranos, Angeliki Androu, Paraskevi Xanthopoulou, Dimitrios Tsoukanas, Polixeni Stamatiou, Panagiotis Theodossiadis
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/2565249
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author Panagiotis Stavrakas
Paris Tranos
Angeliki Androu
Paraskevi Xanthopoulou
Dimitrios Tsoukanas
Polixeni Stamatiou
Panagiotis Theodossiadis
author_facet Panagiotis Stavrakas
Paris Tranos
Angeliki Androu
Paraskevi Xanthopoulou
Dimitrios Tsoukanas
Polixeni Stamatiou
Panagiotis Theodossiadis
author_sort Panagiotis Stavrakas
collection DOAJ
description Purpose. In this retrospective study, we evaluated the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment primarily treated with pars plana vitrectomy in regard to the location of the breaks. Methods. 160 eyes were enrolled in this study, divided into two groups based on break location: the superior break group (115 eyes) and the inferior break group (45 eyes). The main endpoint of our study was the anatomical success at 3 months following surgery. Results. Primary retinal reattachment was achieved in 96.5% of patients in group A and in 93.3% in group B (no statistically significant difference, OR 1.98, 95% CI: 0.4, 7.7). Mean BCVA change and intraoperative complication rate were also not statistically significantly different between the two groups (p>0.05, OR: 1.0, 95% CI: 0.9, 1.01, resp.). Statistical analyses showed that macula status, age, and preoperative BCVA had a significant effect on mean BCVA change (p=0.0001, p=0.005, and p=0.001, resp.). Conclusion. This study supports that acceptable reattachment rates can be achieved using PPV for uncomplicated RRD irrespective of the breaks location and inferior breaks do not constitute an independent risk factor for worse anatomical or functional outcome.
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spelling doaj-art-84784012b2a244daa4a3e5aad9acb0522025-02-03T06:10:52ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/25652492565249Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior BreaksPanagiotis Stavrakas0Paris Tranos1Angeliki Androu2Paraskevi Xanthopoulou3Dimitrios Tsoukanas4Polixeni Stamatiou5Panagiotis Theodossiadis62nd Department of Ophthalmology, University of Athens Medical School, Attikon University General Hospital, Athens, GreeceOphthalmica Clinic, Thessaloniki, Greece2nd Department of Ophthalmology, University of Athens Medical School, Attikon University General Hospital, Athens, GreeceOphthalmology Department, 401 Military Hospital, Athens, Greece2nd Department of Ophthalmology, University of Athens Medical School, Attikon University General Hospital, Athens, Greece2nd Department of Ophthalmology, University of Athens Medical School, Attikon University General Hospital, Athens, Greece2nd Department of Ophthalmology, University of Athens Medical School, Attikon University General Hospital, Athens, GreecePurpose. In this retrospective study, we evaluated the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment primarily treated with pars plana vitrectomy in regard to the location of the breaks. Methods. 160 eyes were enrolled in this study, divided into two groups based on break location: the superior break group (115 eyes) and the inferior break group (45 eyes). The main endpoint of our study was the anatomical success at 3 months following surgery. Results. Primary retinal reattachment was achieved in 96.5% of patients in group A and in 93.3% in group B (no statistically significant difference, OR 1.98, 95% CI: 0.4, 7.7). Mean BCVA change and intraoperative complication rate were also not statistically significantly different between the two groups (p>0.05, OR: 1.0, 95% CI: 0.9, 1.01, resp.). Statistical analyses showed that macula status, age, and preoperative BCVA had a significant effect on mean BCVA change (p=0.0001, p=0.005, and p=0.001, resp.). Conclusion. This study supports that acceptable reattachment rates can be achieved using PPV for uncomplicated RRD irrespective of the breaks location and inferior breaks do not constitute an independent risk factor for worse anatomical or functional outcome.http://dx.doi.org/10.1155/2017/2565249
spellingShingle Panagiotis Stavrakas
Paris Tranos
Angeliki Androu
Paraskevi Xanthopoulou
Dimitrios Tsoukanas
Polixeni Stamatiou
Panagiotis Theodossiadis
Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks
Journal of Ophthalmology
title Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks
title_full Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks
title_fullStr Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks
title_full_unstemmed Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks
title_short Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks
title_sort anatomical and functional results following 23 gauge primary pars plana vitrectomy for rhegmatogenous retinal detachment superior versus inferior breaks
url http://dx.doi.org/10.1155/2017/2565249
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