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.