April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Trends in Primary Rhegmatogenous Retinal Detachment Surgery Based on a Bicenter Study
Author Affiliations & Notes
  • Christiane I. Falkner-Radler
    Dept of Ophthalmology, Rudolf Foundation Clinic, Vienna, Austria
  • Jane S. Myung
    Dept of Ophthalmology, Weill Cornell Medical College and New York-Presbyterian Hospital, New York, New York
  • Sarah Moussa
    Dept of Ophthalmology, Rudolf Foundation Clinic, Vienna, Austria
  • R.V. Paul Chan
    Dept of Ophthalmology, Weill Cornell Medical College and New York-Presbyterian Hospital, New York, New York
  • Eva Smretschnig
    Dept of Ophthalmology, Rudolf Foundation Clinic, Vienna, Austria
  • Szilard Kiss
    Dept of Ophthalmology, Weill Cornell Medical College and New York-Presbyterian Hospital, New York, New York
  • Alexandra Graf
    Dept of Medical Statistics, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria
  • Donald J. D’Amico
    Dept of Ophthalmology, Weill Cornell Medical College and New York-Presbyterian Hospital, New York, New York
  • Susanne Binder
    Dept of Ophthalmology, Rudolf Foundation Clinic, Vienna, Austria
  • Footnotes
    Commercial Relationships  Christiane I. Falkner-Radler, None; Jane S. Myung, None; Sarah Moussa, None; R.V. Paul Chan, None; Eva Smretschnig, None; Szilard Kiss, None; Alexandra Graf, None; Donald J. D’Amico, None; Susanne Binder, None
  • Footnotes
    Support  unrestricted departmental grant from the Ludwig Boltzmann Institute of Retinology and Biomicroscopic Laser surgery, the St. Giles Foundation and from the Research to Prevent Blindness.
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 6175. doi:
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      Christiane I. Falkner-Radler, Jane S. Myung, Sarah Moussa, R.V. Paul Chan, Eva Smretschnig, Szilard Kiss, Alexandra Graf, Donald J. D’Amico, Susanne Binder; Trends in Primary Rhegmatogenous Retinal Detachment Surgery Based on a Bicenter Study. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6175.

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Abstract

Purpose: : To assess trends in primary rhegmatogenous retinal detachment (RRD) surgery based on a retrospective, interventional bicenter study.

Methods: : Baseline demographic data, surgical procedures and outcomes from 230 patients with a diagnosis of primary RRD, who underwent surgery between January 2007 and December 2008 at the Rudolf Foundation Clinic, Vienna, Austria (center 1) and the Weill Cornell Medical College and New York-Presbyterian Hospital, New York, United States (center 2), were enrolled and analyzed using a regression model. In addition, all statistical analyses were substratified by year and center.

Results: : Retinal reattachment after the primary surgical approach was achieved in 123 patients (88.49%) in center 1 and in 77 patients (84.62%) in center 2, and in all patients (100%) after one or more reoperations. Sixty eight patients in center 1 (48.9%) and 43 patients in center 2 (47.3%) achieved a best corrected visual acuity (BCVA) at final follow-up of at least 0.3 logMAR. Besides the baseline parameters lens status (p=.01), refraction (p=.01), retinal tears (p<.02), PVR (p=.02) and previous treatment (p<.02), the choice of the primary RD procedure (p<.002) was significantly different between the two centers. Scleral buckling was the primary RRD procedure in center 1 (87.77%) whereas vitrectomy was the most common primary procedure in center 2 (83.52%). The main outcome measures retinal reattachment (p=.43) and BCVA at final follow-up (p=.78) were not significantly different between the two centers.

Conclusions: : Good and comparable anatomic and visual outcomes, which were not significantly associated with the selection of the primary RRD procedure, were achieved in both centers. Scleral buckling seems to remain the primary RRD procedure in the center in Vienna, particularly in phakic and young RRD cases. There is an agreement on the use of primary vitrectomy in pseudophakic RRD cases in both centers. In addition, there is an increasing trend towards primary vitrectomy for the treatment of phakic and pseudophakic RRD patients in the both centers.

Keywords: retinal detachment 
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