June 2021
Volume 62, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2021
Age as a prognostic factor for the visual or surgical outcome after scleral buckle (SB) or pneumatic retinopexy (PR) for primary macula-off rhegmatogenous retinal detachment (RRD)
Author Affiliations & Notes
  • Ashley H Sohn
    Ophthalmology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, United States
  • George Sanchez
    Ophthalmology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, United States
  • Jacob McGinnis
    Ophthalmology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, United States
  • Dimosthenis Mantopoulos
    Ophthalmology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, United States
  • Footnotes
    Commercial Relationships   Ashley Sohn, None; George Sanchez, None; Jacob McGinnis, None; Dimosthenis Mantopoulos, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2021, Vol.62, 3107. doi:
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      Ashley H Sohn, George Sanchez, Jacob McGinnis, Dimosthenis Mantopoulos; Age as a prognostic factor for the visual or surgical outcome after scleral buckle (SB) or pneumatic retinopexy (PR) for primary macula-off rhegmatogenous retinal detachment (RRD). Invest. Ophthalmol. Vis. Sci. 2021;62(8):3107.

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

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Abstract

Purpose : To determine whether a patient’s age changes the visual or surgical outcome following SB or PR for repair of a primary macula-off RRD.

Methods : Retrospective, consecutive case series. The charts of patients who presented to our institution with a primary macula-off RRD between January 2012 and October 2020 were reviewed. Those who underwent treatment with SB or PR were included. These patients were divided into the following two age groups: (A) ≤60 years-old and (B) ≥61 years-old. The primary outcome was postoperative BCVA. The secondary outcome was single-surgery anatomic success (SSAS) rate.

Results : Of the 193 patients who underwent PR or SB, 45 met inclusion criteria. Twenty-seven of them were male. The mean age ± SD was 57.1 ± 15.1 years-old. The mean follow-up period was 9.4 ± 14.2 months. From these, 21 (47%) were in age group A and 24 (53%) were in age group B. In the SB group, the final mean logMAR (Snellen) BCVA was 0.72 (20/100) for group A and 0.51 (20/63) for group B (p = 0.36). In the PR group, the final mean logMAR (Snellen) BCVA was 0.14 (20/25) in group A and 0.33 (20/40) in group B (p = 0.09). From those who underwent PR, the SSAS rate was 80% in group A compared to 57% in group B (p = 0.24). The SSAS rate of SB was 91% in group A compared to 80% in group B (p = 0.47).

Conclusions : Despite the strong trend for different outcomes between the different subgroups, the patient’s age was not found to have a prognostic significance for the final surgical or visual outcome after RRD repair with SB or PR. More studies with a larger sample size are needed to confirm or reject this hypothesis.

This is a 2021 ARVO Annual Meeting abstract.

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