| Autor: |
Gibelalde, Ane, Pinar-Sueiro, Sergio, Ibarrondo, Oliver, Martínez-Soroa, Itziar, Mendicute, Javier, Ruiz Miguel, Miguel |
| Předmět: |
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| Zdroj: |
International Journal of Retina & Vitreous; 3/26/2023, Vol. 9 Issue 1, p1-7, 7p |
| Abstrakt: |
Background: Given differences in the pathogenic mechanisms underlying primary retinal detachment (RD) as a function of the status of the lens, the objective was to explore differences between pseudophakic and phakic patients with primary RD. Methods: A retrospective study including 821 patients who underwent surgery for RD [491 cases of phakic and 330 of pseudophakic RD (pRD and psRD, respectively)] in our hospital between 2012 and 2020. Results: The mean age was 58.24 ± 12.76 years in the pRD group and 66.87 ± 11.18 years in the psRD group (p = 0.001). There were more men in both groups (70% and 64.23% of pseudophakic and phakic patients, respectively; p = 0.07). The most common location for the RD was superior in both groups (43.94% and 51.93% of pseudophakic and phakic patients, respectively), rates of inferior and total RD were somewhat higher in the psRD group (31.82% and 13.33% in pseudophakic vs 25.25% and 11.0% in phakic patients, p = 0.001). In pseudophakic and phakic patients respectively, macular involvement in 69.09% and 62.73% of cases (p = 0.067). Proliferative vitreoretinopathy was significantly more common in the psRD group (7.88% vs 3.6% in phakic patients, p = 0.01).The rate of final anatomic reattachment differed markedly between groups, with a higher rate in phakic (94.03%) than pseudophakic (87.27%) patients (p = 0.001). Conclusions: The specific pathogenic mechanism involved in psRD seems to be responsible for worse evolution characteristics which are associated with poorer final anatomic and functional outcomes in pseudophakic patients. Key messages: What is known Retinal detachment is a complication that leads to blindness without an early adequate treatment. There is a noticeable increase in the number of phacoemulsification surgeries performed due to a higher life expectancy and the boom of phacorefractive surgery that will lead to a growing incidence of pseudofaquic RD (psRD). It is important to know the pathophysiology of pseudophakic retinal detachment considering a worse prognosis in psDR compared to phakic RD. What is new There are not many studies comparing both groups of retinal detachment considering lens status and none with such a high data. Our results found remarkable differences the anatomic and structural evolution with the poorer prognosis in the pseudophakic group. We believe that is neccesary to give a properly inform patients asking for phacorefractive surgery or cataract of the risks according to the age and other epidemiologic factors, considering a worse prognosis in PRD compared to phakic RD. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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