Visual outcomes of macula-involving rhegmatogenous retinal detachment in patients with and without age-related macular degeneration
Abstract Background The prognosis for patients with macula-off rhegmatogenous retinal detachment (RRD) and concomitant age-related macular degeneration (AMD) is not well known. The purpose of this study is to compare visual outcomes in macula-off RRD in eyes with AMD versus a group of comparison eye...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-022-02718-y |
| _version_ | 1828121076326989824 |
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| author | P. Barrett Paulk Dala Eloubeidi Mark Johnson Thomas Swain John O. Mason Christine A. Curcio Jason N. Crosson |
| author_facet | P. Barrett Paulk Dala Eloubeidi Mark Johnson Thomas Swain John O. Mason Christine A. Curcio Jason N. Crosson |
| author_sort | P. Barrett Paulk |
| collection | DOAJ |
| description | Abstract Background The prognosis for patients with macula-off rhegmatogenous retinal detachment (RRD) and concomitant age-related macular degeneration (AMD) is not well known. The purpose of this study is to compare visual outcomes in macula-off RRD in eyes with AMD versus a group of comparison eyes without AMD. Methods This was a retrospective chart review of 1149 patients. A total of 191 eyes met study criteria, 162 non-AMD eyes (controls), and 29 AMD eyes. The main outcome measure was postoperative visual acuity following pars plana vitrectomy (PPV), scleral buckle (SB), or combined PPV/SB in control eyes versus AMD eyes. This was compared using Fisher’s exact test. Results There was a statistically significant difference in postoperative visual acuity by AMD status, with those without AMD having a worse visual outcome overall (p = 0.0048). A similar percentage of AMD versus non-AMD eyes achieved vision better than 20/40. More patients in the non-AMD group achieved a final visual acuity between 20/40 and 20/200. Of patients with AMD, more had vision worse than 20/200 though 58% maintained functional vision (better than 20/200). Those without AMD had a higher frequency of Count Fingers (CF), Hand Motion (HM), Light Perception (LP), or No Light Perception (NLP) vision (p = 0.023). Conclusions Though postoperative visual acuity was worse overall in the non-AMD group with a higher frequency of patients having final vision of CF, HM, LP, or NLP, this is likely a function of the difference in sample size and composition between the two groups. Importantly, this study suggests AMD patients can expect similar outcomes to non-AMD patients after RRD repair. We conclude that AMD patients can achieve functional vision after RRD surgery, similar to those without AMD. |
| first_indexed | 2024-04-11T14:16:36Z |
| format | Article |
| id | doaj.art-6d2ff6af04c646ce862a3dc90dfcdfa7 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-11T14:16:36Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-6d2ff6af04c646ce862a3dc90dfcdfa72022-12-22T04:19:24ZengBMCBMC Ophthalmology1471-24152022-12-012211510.1186/s12886-022-02718-yVisual outcomes of macula-involving rhegmatogenous retinal detachment in patients with and without age-related macular degenerationP. Barrett Paulk0Dala Eloubeidi1Mark Johnson2Thomas Swain3John O. Mason4Christine A. Curcio5Jason N. Crosson6Department of Ophthalmology and Visual Sciences, University of Alabama at Birmingham School of MedicineUniversity of South Alabama College of MedicineDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham School of MedicineDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham School of MedicineDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham School of MedicineDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham School of MedicineDepartment of Ophthalmology and Visual Sciences, University of Alabama at Birmingham School of MedicineAbstract Background The prognosis for patients with macula-off rhegmatogenous retinal detachment (RRD) and concomitant age-related macular degeneration (AMD) is not well known. The purpose of this study is to compare visual outcomes in macula-off RRD in eyes with AMD versus a group of comparison eyes without AMD. Methods This was a retrospective chart review of 1149 patients. A total of 191 eyes met study criteria, 162 non-AMD eyes (controls), and 29 AMD eyes. The main outcome measure was postoperative visual acuity following pars plana vitrectomy (PPV), scleral buckle (SB), or combined PPV/SB in control eyes versus AMD eyes. This was compared using Fisher’s exact test. Results There was a statistically significant difference in postoperative visual acuity by AMD status, with those without AMD having a worse visual outcome overall (p = 0.0048). A similar percentage of AMD versus non-AMD eyes achieved vision better than 20/40. More patients in the non-AMD group achieved a final visual acuity between 20/40 and 20/200. Of patients with AMD, more had vision worse than 20/200 though 58% maintained functional vision (better than 20/200). Those without AMD had a higher frequency of Count Fingers (CF), Hand Motion (HM), Light Perception (LP), or No Light Perception (NLP) vision (p = 0.023). Conclusions Though postoperative visual acuity was worse overall in the non-AMD group with a higher frequency of patients having final vision of CF, HM, LP, or NLP, this is likely a function of the difference in sample size and composition between the two groups. Importantly, this study suggests AMD patients can expect similar outcomes to non-AMD patients after RRD repair. We conclude that AMD patients can achieve functional vision after RRD surgery, similar to those without AMD.https://doi.org/10.1186/s12886-022-02718-yMacula-off rhegmatogenous retinal detachmentAge-related macular degenerationVisual acuity |
| spellingShingle | P. Barrett Paulk Dala Eloubeidi Mark Johnson Thomas Swain John O. Mason Christine A. Curcio Jason N. Crosson Visual outcomes of macula-involving rhegmatogenous retinal detachment in patients with and without age-related macular degeneration BMC Ophthalmology Macula-off rhegmatogenous retinal detachment Age-related macular degeneration Visual acuity |
| title | Visual outcomes of macula-involving rhegmatogenous retinal detachment in patients with and without age-related macular degeneration |
| title_full | Visual outcomes of macula-involving rhegmatogenous retinal detachment in patients with and without age-related macular degeneration |
| title_fullStr | Visual outcomes of macula-involving rhegmatogenous retinal detachment in patients with and without age-related macular degeneration |
| title_full_unstemmed | Visual outcomes of macula-involving rhegmatogenous retinal detachment in patients with and without age-related macular degeneration |
| title_short | Visual outcomes of macula-involving rhegmatogenous retinal detachment in patients with and without age-related macular degeneration |
| title_sort | visual outcomes of macula involving rhegmatogenous retinal detachment in patients with and without age related macular degeneration |
| topic | Macula-off rhegmatogenous retinal detachment Age-related macular degeneration Visual acuity |
| url | https://doi.org/10.1186/s12886-022-02718-y |
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