Abstract
Purpose :
To assess the single surgery anatomic success (SSAS) rate after scleral buckling (SB) procedure for primary rhegmatogenous retinal detachment (RRD), and to identify clinical factors associated with increased risk of surgical failure. Surgical failure was defined as any additional intervention required for retinal re-attachment. Interventions included pneumatic retinopexy, SB revision, or pars plana vitrectomy (PPV) at any time after SB placement.
Methods :
Single-center, retrospective cohort study. Demographic, clinical, and surgical characteristics were extracted from patient charts and compared between eyes with SSAS and eyes experiencing surgical failure. A multivariable logistic regression model was completed to assess the effect of demographic, clinical, or surgical characteristics on SSAS.
Results :
A total of 499 patients with primary RRD who underwent primary SB were included, with a SSAS of 86% (n=430/499). On multivariate analysis, eyes with surgical failure after primary SB placement were more likely to be male (adjusted odds ratio [aOR]: 2.98, 95% CI: 1.58-5.62, p = 0.0007), have a macula-off status on preoperative examination (adjusted OR: 2.15, 95% CI: 1.10-4.20, p = 0.03), and have presence of preoperative PVR (adjusted OR: 4.26, 95% CI: 1.10, 16.5, p = 0.04).
Conclusions :
SSAS after primary SB for primary RRD was 86%. Male sex, macula-off status at presentation, and presence of PVR were factors with increased odds of surgical failure.
This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.