Abstract
Purpose :
Rhegmatogenous retinal detachment (RRD) requiring surgical repair is a common cause of vision loss, disability, and diminished quality of life. We aimed to determine whether ocular history factors affect anatomic surgical success in the short term and long term.
Methods :
We conducted a retrospective chart review of 613 patients at a private practice retina center requiring surgical repair for RRD. Patients with tractional retinal detachments, age less than 18 years old, and eyes with less than 3 months of follow-up were excluded. Ocular history factors included AMD, glaucoma, evidence of PVR pre-operatively, elevated IOP at time of diagnosis (defined as >25 mmHg), and extended retinal detachment duration (defined as >1 month). Short term success was defined as an attached retina at 3 months postoperatively and long term success was defined as an attached retina at 12 months postoperatively. The Chi-Square test was used to evaluate the relationship between ocular factors and short term and long term surgical success, with a p-value <0.05 considered statistically significant.
Results :
A significant association was found between preoperative PVR and anatomic success at 3 months (P=0.010) and 12 months (P=0.047). The presence of AMD in patients predicted worse anatomic success at 3 months (P=0.002) and at 12 months (P=0.046). There was no significant association between extended retinal detachment duration and anatomic success at 3 months (P=0.809). However, extended retinal detachment duration did predict worse anatomic success at 12 months (P=0.022). There was no significant association between glaucoma and anatomic success at 3 months (P=0.476) or 12 months (P=0.917). Additionally, there was no significant association between IOP >25 mmHg and anatomic success at 3 months (P=0.722), or 12 months (P=0.0649).
Conclusions :
Eyes with PVR, AMD, and extended retinal detachment duration are less likely to have successful surgical anatomic outcomes, thus increasing the need for additional surgical intervention in the long term. Currently, there is no evidence suggesting that glaucoma and IOP>25 mmHg have an effect on anatomic surgical success in the short term or long term. These results suggest that special care for eyes with PVR, AMD, and extended retinal detachment duration may be necessary. However, additional large retrospective studies are needed to further characterize these relationships.
This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.