Effect of Changes in Surgical Strategies for the Treatment of Primary Rhegmatogenous Retinal Detachment on Functional and Anatomical Outcomes: A Retrospective Analysis of 812 Cases from the Years 2004 to 2012
Background: At the Department of Ophthalmology and Optometry at the MUV surgical method (scleral buckling, vitrectomy, combined vitrectomy/scleral buckling) and timing (daytime, nighttime) for the treatment of primary rhegmatogenous retinal detachment (RRD) changed continuously in the years 2004 to...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/6/2278 |
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| author | Aleksandra Sedova Christoph Scholda Thomas Huebl Irene Steiner Stefan Sacu Michael Georgopoulos Ursula Schmidt-Erfurth Andreas Pollreisz |
| author_facet | Aleksandra Sedova Christoph Scholda Thomas Huebl Irene Steiner Stefan Sacu Michael Georgopoulos Ursula Schmidt-Erfurth Andreas Pollreisz |
| author_sort | Aleksandra Sedova |
| collection | DOAJ |
| description | Background: At the Department of Ophthalmology and Optometry at the MUV surgical method (scleral buckling, vitrectomy, combined vitrectomy/scleral buckling) and timing (daytime, nighttime) for the treatment of primary rhegmatogenous retinal detachment (RRD) changed continuously in the years 2004 to 2012. This study aims to evaluate changes in surgical strategies over time including their impact on functional and anatomical outcomes. Methods: Retrospective evaluation of patients operated on primary RRD between the years 2004 and 2012. Baseline demographic data, month 3 best-corrected visual acuity (BCVA), surgical method, single success surgery, surgical timing, and intraoperative complications were analyzed. Results: Overall, 812 eyes of 812 patients with a mean (±SD) age of 58.1 ± 13.3 years were included. A total of 413 (51%) patients presented with macula-on and 359 (44%) with macula-off RRD. Month 3 BCVA increased over time, both in macula-on or macula-off groups (<i>p</i> < 0.001). The rate of complete retinal reattachment 3 months postoperatively increased significantly from 65% in 2004 to 83% in 2012 in both groups. Scleral buckling surgeries decreased continuously from 95% to 16% with an appropriate increase in vitrectomies as well as a decrease in surgeries during nighttime (68% in 2004, 6% in 2012) with equal or better visual and functional outcomes. Conclusion: Our data showed that improving functional and single-success surgery outcomes in patients operated on for primary RRD. In the years 2004 to 2012, surgical techniques shifted from scleral buckling to primary vitrectomy and were increasingly scheduled during the daytime. |
| first_indexed | 2024-03-11T06:22:14Z |
| format | Article |
| id | doaj.art-9310b27d3e6940a49d8c8caab8b1f840 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T06:22:14Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-9310b27d3e6940a49d8c8caab8b1f8402023-11-17T11:50:38ZengMDPI AGJournal of Clinical Medicine2077-03832023-03-01126227810.3390/jcm12062278Effect of Changes in Surgical Strategies for the Treatment of Primary Rhegmatogenous Retinal Detachment on Functional and Anatomical Outcomes: A Retrospective Analysis of 812 Cases from the Years 2004 to 2012Aleksandra Sedova0Christoph Scholda1Thomas Huebl2Irene Steiner3Stefan Sacu4Michael Georgopoulos5Ursula Schmidt-Erfurth6Andreas Pollreisz7Department of Ophthalmology and Optometry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Ophthalmology and Optometry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Ophthalmology and Optometry, Medical University of Vienna, 1090 Vienna, AustriaCenter for Medical Data Science (CeDAS), Institute of Medical Statistics, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Ophthalmology and Optometry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Ophthalmology and Optometry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Ophthalmology and Optometry, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Ophthalmology and Optometry, Medical University of Vienna, 1090 Vienna, AustriaBackground: At the Department of Ophthalmology and Optometry at the MUV surgical method (scleral buckling, vitrectomy, combined vitrectomy/scleral buckling) and timing (daytime, nighttime) for the treatment of primary rhegmatogenous retinal detachment (RRD) changed continuously in the years 2004 to 2012. This study aims to evaluate changes in surgical strategies over time including their impact on functional and anatomical outcomes. Methods: Retrospective evaluation of patients operated on primary RRD between the years 2004 and 2012. Baseline demographic data, month 3 best-corrected visual acuity (BCVA), surgical method, single success surgery, surgical timing, and intraoperative complications were analyzed. Results: Overall, 812 eyes of 812 patients with a mean (±SD) age of 58.1 ± 13.3 years were included. A total of 413 (51%) patients presented with macula-on and 359 (44%) with macula-off RRD. Month 3 BCVA increased over time, both in macula-on or macula-off groups (<i>p</i> < 0.001). The rate of complete retinal reattachment 3 months postoperatively increased significantly from 65% in 2004 to 83% in 2012 in both groups. Scleral buckling surgeries decreased continuously from 95% to 16% with an appropriate increase in vitrectomies as well as a decrease in surgeries during nighttime (68% in 2004, 6% in 2012) with equal or better visual and functional outcomes. Conclusion: Our data showed that improving functional and single-success surgery outcomes in patients operated on for primary RRD. In the years 2004 to 2012, surgical techniques shifted from scleral buckling to primary vitrectomy and were increasingly scheduled during the daytime.https://www.mdpi.com/2077-0383/12/6/2278primary rhegmatogenous retinal detachmentretinal detachment surgery outcomesscleral bucklingvitrectomycombined vitrectomy/scleral buckling |
| spellingShingle | Aleksandra Sedova Christoph Scholda Thomas Huebl Irene Steiner Stefan Sacu Michael Georgopoulos Ursula Schmidt-Erfurth Andreas Pollreisz Effect of Changes in Surgical Strategies for the Treatment of Primary Rhegmatogenous Retinal Detachment on Functional and Anatomical Outcomes: A Retrospective Analysis of 812 Cases from the Years 2004 to 2012 Journal of Clinical Medicine primary rhegmatogenous retinal detachment retinal detachment surgery outcomes scleral buckling vitrectomy combined vitrectomy/scleral buckling |
| title | Effect of Changes in Surgical Strategies for the Treatment of Primary Rhegmatogenous Retinal Detachment on Functional and Anatomical Outcomes: A Retrospective Analysis of 812 Cases from the Years 2004 to 2012 |
| title_full | Effect of Changes in Surgical Strategies for the Treatment of Primary Rhegmatogenous Retinal Detachment on Functional and Anatomical Outcomes: A Retrospective Analysis of 812 Cases from the Years 2004 to 2012 |
| title_fullStr | Effect of Changes in Surgical Strategies for the Treatment of Primary Rhegmatogenous Retinal Detachment on Functional and Anatomical Outcomes: A Retrospective Analysis of 812 Cases from the Years 2004 to 2012 |
| title_full_unstemmed | Effect of Changes in Surgical Strategies for the Treatment of Primary Rhegmatogenous Retinal Detachment on Functional and Anatomical Outcomes: A Retrospective Analysis of 812 Cases from the Years 2004 to 2012 |
| title_short | Effect of Changes in Surgical Strategies for the Treatment of Primary Rhegmatogenous Retinal Detachment on Functional and Anatomical Outcomes: A Retrospective Analysis of 812 Cases from the Years 2004 to 2012 |
| title_sort | effect of changes in surgical strategies for the treatment of primary rhegmatogenous retinal detachment on functional and anatomical outcomes a retrospective analysis of 812 cases from the years 2004 to 2012 |
| topic | primary rhegmatogenous retinal detachment retinal detachment surgery outcomes scleral buckling vitrectomy combined vitrectomy/scleral buckling |
| url | https://www.mdpi.com/2077-0383/12/6/2278 |
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