COMPARATIVE PROSPECTIVE STUDY OF RHEGMATOGENOUS RETINAL DETACHMENTS IN PHAKIC OR PSEUDOPHAKIC PATIENTS WITH HIGH MYOPIA
| Autor: | Christophe Chiquet, Magali Albrieux, Frédéric Rouberol, Jean-Paul Romanet, Karine Palombi, Diane Bernheim |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Pars plana medicine.medical_specialty Visual acuity Pseudophakia genetic structures medicine.medical_treatment Visual Acuity Emmetropia Vitrectomy Postoperative Complications Ophthalmology Lens Crystalline Humans Medicine Prospective Studies Intraoperative Complications Prospective cohort study Laser Coagulation business.industry Retinal Detachment Retinal detachment General Medicine Middle Aged medicine.disease eye diseases Confidence interval Scleral Buckling medicine.anatomical_structure Cryotherapy Myopia Degenerative Female sense organs medicine.symptom business Laser coagulation |
| Zdroj: | Retina. 33:2039-2048 |
| ISSN: | 0275-004X |
| DOI: | 10.1097/iae.0b013e31828992ac |
| Popis: | PURPOSE To compare the anatomical and functional results of primary rhegmatogenous retinal detachment in highly myopic phakic or pseudophakic eyes. METHODS This prospective 2-center study included 191 consecutive eyes (151 phakic and 40 pseudophakic eyes) from a prospective cohort of 835 patients (IRB #5891, between 2004 and 2008). Baseline and follow-up data were systematically recorded at presentation, 1 month, and 6 months or more after surgery. On final examination, two groups were considered based on the need for one or more surgeries to achieve retinal reapplication. End points were primary reattachment rate at the 6-month visit, final anatomical success rate, postoperative visual acuity, and intraoperative and postoperative complications. RESULTS Pseudophakic eyes differed from phakic eyes in age (60.8 ± 10.4 vs. 49.9 ± 12.3, P < 0.001), smaller pupil dilation (8.0 ± 1.5 vs. 8.5 ± 1.2 mm, P = 0.02), fewer retinal tears seen preoperatively (1.5 ± 1.6 vs. 2.2 ± 2.2, P = 0.06), more frequent use of pars plana vitrectomy (80% vs. 28.5%, P < 0.001), and higher single reattachment rate (92.5% vs. 80.7%). Visual acuity was greater than or equal to 20/40 in 54% of cases with single retinal detachment surgery and 44% of cases with multiple surgeries. Multiple logistic regression analysis showed that only 3 independent variables were significantly predictive of good final visual acuity (20/40): initial visual acuity ( |
| Databáze: | OpenAIRE |
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