May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
Retinal Detachment Management in Spain: Variations in 5 Years
Author Affiliations & Notes
  • E. de la Rua, Sr.
    Hospital University Valladolid, Valladolid, Spain
    IOBA; University of Valladolid, Valladolid, Spain
  • J. Pastor
    IOBA; University of Valladolid, Valladolid, Spain
  • I. Fernández
    IOBA; University of Valladolid, Valladolid, Spain
  • J. García Arumí
    Hospital Vall d'Hebro, Barcelona, Spain
  • V. Martínez – Castillo
    Hospital Vall d'Hebro, Barcelona, Spain
  • R. Sanabria
    IOBA; University of Valladolid, Valladolid, Spain
    Hospital Río Hortega, Valladolid, Spain
  • I. Miranda
    Hospital Ntra. Sra. Sonsoles, Ávila, Spain
  • D. Sánchez
    Hospital University Valladolid, Valladolid, Spain
    IOBA; University of Valladolid, Valladolid, Spain
  • Retina 1 Project
    Hospital University Valladolid, Valladolid, Spain
  • Footnotes
    Commercial Relationships E. de la Rua, None; J. Pastor, None; I. Fernández, None; J. García Arumí, None; V. Martínez – Castillo, None; R. Sanabria, None; I. Miranda, None; D. Sánchez, None.
  • Footnotes
    Support Instituto Salud Carlos III; FIS-FEDER Red 03/13; P1020821
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 5714. doi:
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    • Get Citation

      E. de la Rua, Sr., J. Pastor, I. Fernández, J. García Arumí, V. Martínez – Castillo, R. Sanabria, I. Miranda, D. Sánchez, Retina 1 Project; Retinal Detachment Management in Spain: Variations in 5 Years. Invest. Ophthalmol. Vis. Sci. 2007;48(13):5714.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose:: to assess variations in the management of non complicated rhegmatogenous retinal detachments (RD) in two series separated by 5 years.

Methods:: Prospective, multicentric study involving 5 hospitals. Consecutive cases of RD were included and 83 variables related to preoperative characteristics, surgical management and postoperative evolution were recorded. All surgeons were experienced and were allowed to treat patients following their personal criteria. Group 1(G1) (n: 186) includes cases operated from 1999 to 2001; group 2 (G2) (n: 153) includes cases from 2004 to 2006. Quantitative variables were compared by Mann-Whitney U test. Qualitative variables were analysed by standard contingency tables. Logistic regression models were used to evaluate the importance of RD characteristics for the decision to perform a vitrectomy.

Results:: G1 showed significant longer delayed in performing surgery since first symptoms occur (G1: 29 ± 50 days; G2: 22 ± 55; p < .001) and more RD without visible retinal break than G2 (G1:17.4%; G2: 9.2%; p = .028). In G2 cases with multiple retinal breaks (G1: 31.6%; G2: 44.6%) were more frequent (p = .022). No significant differences in other preoperative variables were observed. Vitrectomy was performed in 30.1% in G1 and in 78.4% in G2 as a primary surgical approach (p < .001). Independently of the RD characteristics, rate of vitrectomy was higher in G2. In G1 vitrectomy was mainly associated to non visible retinal breaks (OR: .110; CI 95%: .029 - .424) or vitreous haemorrhage (OR: 3.410; CI 95%: 1.104 - 10.538). In G2 cases with PVR grade A or B (OR: 6.198; CI 95%: 1.344 - 28.582) and pseudophakia (OR: 28.694; CI 95%: 3.762 - 218.864) went to vitrectomy. Reattachment rate was over 94% in both groups (p = .833). Only pseudophakic RD showed better anatomical results in G2 than in G1 (G1: 83.9%; G2: 96.4%; p = .028).

Conclusions:: There is a increasing tendency to treat RD with primary vitrectomy in the last 5 years, neither related with a higher complexity of cases nor with better anatomical results.

Keywords: retinal detachment • vitreoretinal surgery 
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