دورية أكاديمية

Surgical outcomes for primary rhegmatogenous retinal detachments in phakic and pseudophakic patients: the Retina 1 Project--report 2

التفاصيل البيبلوغرافية
العنوان: Surgical outcomes for primary rhegmatogenous retinal detachments in phakic and pseudophakic patients: the Retina 1 Project--report 2
المؤلفون: Pastor, J C, Fernández, I, de la Rúa, E Rodríguez, Coco, R, Colmenares, M R Sanabria- Ruiz, Chicharro, D Sánchez-, Martinho, Rui, Moreno, J M Ruiz, Arumi, J García, de Figueroa, M Suárez, Giraldo, A, Manzanas, L
بيانات النشر: British Medical Journal Publishing Group
سنة النشر: 2008
المجموعة: HighWire Press (Stanford University)
مصطلحات موضوعية: Original articles - Clinical science
الوصف: Aims: To compare anatomical and functional outcomes for 546 phakic and pseudophakic primary rhegmatogenous retinal detachments (RDs) treated by pars plana vitrectomy or scleral buckling. Methods: Prospective, non-randomised, interventional study in 15 centres in Spain and Portugal, with data from RDs consecutively treated from January 2005 to May 2007. Cases with preoperative proliferative vitreoretinopathy grade C-1 or higher and perforating trauma were excluded. Minimum follow-up was 3 months. Twenty-seven pre-, intra- and post-surgical variables for each patient were analysed. Multivariate analysis was carried out by logistic regression analysis with stepwise selection of variables. Results: Data from 546 patients were analysed. Global anatomical success was 94.7%. Logistic regression analysis showed that only the development of postoperative proliferative vitreoretinopathy was associated with a poor anatomical outcome. The poorest functional results were associated with macular involvement, extension of RD, previous RD surgery, time of evolution of RD, and age of patient. Hierarchical log-linear analysis showed no effect of the lens status (phakic versus pseudophakic) on the functional results. However, pars plana vitrectomy was most often performed in pseudophakic eyes and resulted in a worse final visual acuity (p<0.001). Conclusions: No differences in anatomical success between phakic and pseudophakic eyes were found in this series. Pars plana vitrectomy was most often performed in pseudophakic eyes and had a greater probability of a worse final visual acuity than scleral buckling.
نوع الوثيقة: text
وصف الملف: text/html
اللغة: English
العلاقة: http://bjo.bmj.com/cgi/content/short/92/3/378Test; http://dx.doi.org/10.1136/bjo.2007.129437Test
DOI: 10.1136/bjo.2007.129437
الإتاحة: https://doi.org/10.1136/bjo.2007.129437Test
http://bjo.bmj.com/cgi/content/short/92/3/378Test
حقوق: Copyright (C) 2008, BMJ Publishing Group Ltd
رقم الانضمام: edsbas.9B27B29C
قاعدة البيانات: BASE