Factors affecting visual recovery after successful repair of macula-off retinal detachments: findings from a large prospective UK cohort study
| Autor: | Assad Jalil, David H. W. Steel, Jeremy Ellis, Ahc Morris, G W Aylward, E N Herbert, Kurt Spiteri Cornish, J. G. Smith, S Winder, Vasileios T Papastavrou, Kamaljit S Balaggan, T Cochrane, H Jenkins, C Goldsmith, Tom H Williamson, Mark Costen, D Sanchez-Chicharro, David Yorston, D. A. Laidlaw, Tanner, John M. Sparrow, L Wakeley, Stephen J. Charles, Sonali Tarafdar, IJ Khan, Atiq R. Babar, Phj Donachie, Tsveta Ivanova, E S Hughes, Anthony G. Casswell, DH Steel |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity Time Factors genetic structures medicine.medical_treatment Vitrectomy Article Cohort Studies 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Ophthalmology medicine Humans Prospective Studies Risk factor Prospective cohort study Retrospective Studies business.industry Retinal Detachment Retinal detachment Retinal Middle Aged medicine.disease eye diseases United Kingdom Scleral Buckling Treatment Outcome chemistry 030221 ophthalmology & optometry Tamponade medicine.symptom business 030217 neurology & neurosurgery Cohort study |
| Zdroj: | Eye (Lond) |
| Popis: | Objective To identify risk factors affecting visual outcomes in successfully re-attached macula-off rhegmatogenous retinal detachment (RD) surgery. Design A prospective study, using online databases, of visual outcomes for 2074 macula-off retinal detachments that were successfully re-attached by vitrectomy and internal tamponade. The database included detailed retinal diagrams of each detachment. Main outcome measure The probability of achieving a post-operative visual acuity (VA) of ≤0.30 LogMAR (Snellen 6/12 or better). Results Male patients accounted for 64.9% of the sample and the median age was 63 years old. The median pre-operative VA was counting fingers (LogMAR 1.98); this improved to 0.41 LogMAR post-operatively. A post-operative VA of ≤0.30 LogMAR was achieved for 1012 (48.8%) eyes and the factors affecting this were the patient age and gender, pre-operative VA, duration of central vision loss, PVR grade, lens status, total RD and the presence of any ocular co-pathology where the model area under the receiver operator curve was 71.6%. Conclusions From the identified risk factors that decrease the probability of achieving a post-operative visual acuity of ≤0.30 LogMAR, the most important modifiable risk factor was the duration of central vision loss. Recent macula-off retinal detachments should be repaired within 72 h of the loss of central vision. |
| Databáze: | OpenAIRE |
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