Outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide-angle viewing systems
Abstract Background To evaluate the efficacy of micro-incision vitrectomy surgery (MIVS) using Lumera and Resight non-contact sutureless wide-angle viewing systems (WAVS) for primary rhegmatogenous retinal detachment (RRD), and to analyze the anatomical and visual outcomes. Methods The retrospective...
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | BMC Ophthalmology |
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| Online Access: | http://link.springer.com/article/10.1186/s12886-019-1238-3 |
| _version_ | 1818253012370456576 |
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| author | Chun-Ting Lai Wei-Hsun Kung Chun-Ju Lin Huan-Sheng Chen Henry Bair Jane-Ming Lin Wen-Lu Chen Peng-Tai Tien Yi-Yu Tsai |
| author_facet | Chun-Ting Lai Wei-Hsun Kung Chun-Ju Lin Huan-Sheng Chen Henry Bair Jane-Ming Lin Wen-Lu Chen Peng-Tai Tien Yi-Yu Tsai |
| author_sort | Chun-Ting Lai |
| collection | DOAJ |
| description | Abstract Background To evaluate the efficacy of micro-incision vitrectomy surgery (MIVS) using Lumera and Resight non-contact sutureless wide-angle viewing systems (WAVS) for primary rhegmatogenous retinal detachment (RRD), and to analyze the anatomical and visual outcomes. Methods The retrospective, non-comparative, interventional case series reported here was conducted from June 2014 through November 2016. Enrolled patients presented with primary RRD and received MIVS with/without cryopexy by one surgeon using the Lumera and Resight non-contact sutureless WAVS. All patients were followed-up for a minimum of 12 months. Variables collected included patient demographics, best-corrected visual acuity, and macular status. The number and position of retinal break(s), and the use of cryopexy, were also recorded. Outcome measures included operative time, single-operation anatomical success rate, final anatomical success rate, recurrent rate, postoperative best-corrected visual acuity, and surgical complications. The end points were operative time, anatomical outcome, and functional outcome. Results In total, 110 eyes from 110 patients (68 men and 42 women) were treated. Of these, 103 (93%) eyes were reattached after primary vitrectomy. One hundred ten eyes (100%) reached final anatomical success. The mean operative time was 50.55 min. Multivariate analyses were performed with best model selection principle based on general linear model by Akaike Information Criteria for detecting possible factors related to operation time, and with multivariate logistic regression analysis for revealing probable clinical parameters which might influence the anatomical outcome after first operation and final visual outcome. Intraoperative cryopexy and multiple breaks increased operative time significantly. More favorable BCVA was significantly correlated with shorter operation time and the preoperative macula-on status. Multivariate logistic regression on the group of patients who have received the cataract surgery revealed that the pre-operative BCVA is a significant factor which can predict the visual outcome after MIVS. Conclusions The outcome of primary RRD repaired by MIVS using the Lumera and Resight sutureless WAVS was not inferior to any other published method. This instrument combination resulted in a relatively rapid and comfortable procedure without serious postoperative complications. Cryopexy and multiple breaks affected operative time significantly. Shorter operative times and preoperative macula-on status are associated with better final visual outcomes. |
| first_indexed | 2024-12-12T16:33:18Z |
| format | Article |
| id | doaj.art-729e86bb29894b108b9d57ff7bcbc57a |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-12T16:33:18Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-729e86bb29894b108b9d57ff7bcbc57a2022-12-22T00:18:44ZengBMCBMC Ophthalmology1471-24152019-11-011911810.1186/s12886-019-1238-3Outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide-angle viewing systemsChun-Ting Lai0Wei-Hsun Kung1Chun-Ju Lin2Huan-Sheng Chen3Henry Bair4Jane-Ming Lin5Wen-Lu Chen6Peng-Tai Tien7Yi-Yu Tsai8Department of Ophthalmology, China Medical University Hospital, China Medical UniversityDepartment of Ophthalmology, China Medical University Hospital, China Medical UniversityDepartment of Ophthalmology, China Medical University Hospital, China Medical UniversityAn-Shin Dialysis Center, NephroCare Ltd., Fresenius Medical CareDepartment of Ophthalmology, China Medical University Hospital, China Medical UniversityDepartment of Ophthalmology, China Medical University Hospital, China Medical UniversityDepartment of Ophthalmology, China Medical University Hospital, China Medical UniversityDepartment of Ophthalmology, China Medical University Hospital, China Medical UniversityDepartment of Ophthalmology, China Medical University Hospital, China Medical UniversityAbstract Background To evaluate the efficacy of micro-incision vitrectomy surgery (MIVS) using Lumera and Resight non-contact sutureless wide-angle viewing systems (WAVS) for primary rhegmatogenous retinal detachment (RRD), and to analyze the anatomical and visual outcomes. Methods The retrospective, non-comparative, interventional case series reported here was conducted from June 2014 through November 2016. Enrolled patients presented with primary RRD and received MIVS with/without cryopexy by one surgeon using the Lumera and Resight non-contact sutureless WAVS. All patients were followed-up for a minimum of 12 months. Variables collected included patient demographics, best-corrected visual acuity, and macular status. The number and position of retinal break(s), and the use of cryopexy, were also recorded. Outcome measures included operative time, single-operation anatomical success rate, final anatomical success rate, recurrent rate, postoperative best-corrected visual acuity, and surgical complications. The end points were operative time, anatomical outcome, and functional outcome. Results In total, 110 eyes from 110 patients (68 men and 42 women) were treated. Of these, 103 (93%) eyes were reattached after primary vitrectomy. One hundred ten eyes (100%) reached final anatomical success. The mean operative time was 50.55 min. Multivariate analyses were performed with best model selection principle based on general linear model by Akaike Information Criteria for detecting possible factors related to operation time, and with multivariate logistic regression analysis for revealing probable clinical parameters which might influence the anatomical outcome after first operation and final visual outcome. Intraoperative cryopexy and multiple breaks increased operative time significantly. More favorable BCVA was significantly correlated with shorter operation time and the preoperative macula-on status. Multivariate logistic regression on the group of patients who have received the cataract surgery revealed that the pre-operative BCVA is a significant factor which can predict the visual outcome after MIVS. Conclusions The outcome of primary RRD repaired by MIVS using the Lumera and Resight sutureless WAVS was not inferior to any other published method. This instrument combination resulted in a relatively rapid and comfortable procedure without serious postoperative complications. Cryopexy and multiple breaks affected operative time significantly. Shorter operative times and preoperative macula-on status are associated with better final visual outcomes.http://link.springer.com/article/10.1186/s12886-019-1238-3Non-contact wide angle viewing systemSuturelessMicro-incision vitrectomy surgeryRhegmatogenous retinal detachment |
| spellingShingle | Chun-Ting Lai Wei-Hsun Kung Chun-Ju Lin Huan-Sheng Chen Henry Bair Jane-Ming Lin Wen-Lu Chen Peng-Tai Tien Yi-Yu Tsai Outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide-angle viewing systems BMC Ophthalmology Non-contact wide angle viewing system Sutureless Micro-incision vitrectomy surgery Rhegmatogenous retinal detachment |
| title | Outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide-angle viewing systems |
| title_full | Outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide-angle viewing systems |
| title_fullStr | Outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide-angle viewing systems |
| title_full_unstemmed | Outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide-angle viewing systems |
| title_short | Outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide-angle viewing systems |
| title_sort | outcome of primary rhegmatogenous retinal detachment using microincision vitrectomy and sutureless wide angle viewing systems |
| topic | Non-contact wide angle viewing system Sutureless Micro-incision vitrectomy surgery Rhegmatogenous retinal detachment |
| url | http://link.springer.com/article/10.1186/s12886-019-1238-3 |
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