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Clinical characteristics and prognosis of Total Rhegmatogenous retinal detachment: a matched case-control study

BACKGROUND: Although many studies have reported clinical features, surgical outcomes of rhegmatogenous retinal detachment (RRD), studies focusing on total RRD are rare. In this study, we investigate the clinical characteristics, risk factors, and prognosis of total RRD. METHODS: A retrospective char...

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Autores principales: Sung, Jae-Yun, Lee, Min-Woo, Won, Yeo-Kyoung, Lim, Hyung-Bin, Kim, Jung-Yeul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7359495/
https://www.ncbi.nlm.nih.gov/pubmed/32660545
http://dx.doi.org/10.1186/s12886-020-01560-4
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author Sung, Jae-Yun
Lee, Min-Woo
Won, Yeo-Kyoung
Lim, Hyung-Bin
Kim, Jung-Yeul
author_facet Sung, Jae-Yun
Lee, Min-Woo
Won, Yeo-Kyoung
Lim, Hyung-Bin
Kim, Jung-Yeul
author_sort Sung, Jae-Yun
collection PubMed
description BACKGROUND: Although many studies have reported clinical features, surgical outcomes of rhegmatogenous retinal detachment (RRD), studies focusing on total RRD are rare. In this study, we investigate the clinical characteristics, risk factors, and prognosis of total RRD. METHODS: A retrospective chart review was performed on cases of 44 total RRD and an age- and sex-matched 88 partial RRD. Two groups were compared for clinical characteristics, risk factors, and prognosis. RESULTS: The prevalence of total RRD in all cases of retinal detachment was 4.4%. Pseudophakic eye, ocular trauma, and proliferative vitreoretinopathy (PVR) were significantly associated with a risk of total RRD (P = .002, P = .003, and P < .001, respectively). In the total RRD group, retinal breaks were located in both superior and inferior parts of the retina, and macular holes and giant retinal tears were frequently found. The best-corrected visual acuity (log MAR) before surgery and final best-corrected visual acuity after surgery were 2.23 ± 0.45 and 1.88 ± 0.96, which was significantly poorer than in the partial RRD group (P < .001). The success rate after primary surgery was 75.0% in the total RRD group, which was significantly lower than partial RRD group (P < .001). Old age, pseudophakic eye, and macular hole as the type of retinal break were highly associated with low success rate. (P = .010, P = .0500, and P = .002). CONCLUSIONS: Patients with total RRD had higher recurrence rate and poorer visual outcome after surgery than patients with focal RRD. Old age, pseudophakic eye, and presence of macular hole were important risk factors for recurrence after total RRD repair. Additional surgical procedures should be considered to combine with vitrectomy to achieve better surgical outcomes in these patients.
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spelling pubmed-73594952020-07-17 Clinical characteristics and prognosis of Total Rhegmatogenous retinal detachment: a matched case-control study Sung, Jae-Yun Lee, Min-Woo Won, Yeo-Kyoung Lim, Hyung-Bin Kim, Jung-Yeul BMC Ophthalmol Research Article BACKGROUND: Although many studies have reported clinical features, surgical outcomes of rhegmatogenous retinal detachment (RRD), studies focusing on total RRD are rare. In this study, we investigate the clinical characteristics, risk factors, and prognosis of total RRD. METHODS: A retrospective chart review was performed on cases of 44 total RRD and an age- and sex-matched 88 partial RRD. Two groups were compared for clinical characteristics, risk factors, and prognosis. RESULTS: The prevalence of total RRD in all cases of retinal detachment was 4.4%. Pseudophakic eye, ocular trauma, and proliferative vitreoretinopathy (PVR) were significantly associated with a risk of total RRD (P = .002, P = .003, and P < .001, respectively). In the total RRD group, retinal breaks were located in both superior and inferior parts of the retina, and macular holes and giant retinal tears were frequently found. The best-corrected visual acuity (log MAR) before surgery and final best-corrected visual acuity after surgery were 2.23 ± 0.45 and 1.88 ± 0.96, which was significantly poorer than in the partial RRD group (P < .001). The success rate after primary surgery was 75.0% in the total RRD group, which was significantly lower than partial RRD group (P < .001). Old age, pseudophakic eye, and macular hole as the type of retinal break were highly associated with low success rate. (P = .010, P = .0500, and P = .002). CONCLUSIONS: Patients with total RRD had higher recurrence rate and poorer visual outcome after surgery than patients with focal RRD. Old age, pseudophakic eye, and presence of macular hole were important risk factors for recurrence after total RRD repair. Additional surgical procedures should be considered to combine with vitrectomy to achieve better surgical outcomes in these patients. BioMed Central 2020-07-13 /pmc/articles/PMC7359495/ /pubmed/32660545 http://dx.doi.org/10.1186/s12886-020-01560-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Sung, Jae-Yun
Lee, Min-Woo
Won, Yeo-Kyoung
Lim, Hyung-Bin
Kim, Jung-Yeul
Clinical characteristics and prognosis of Total Rhegmatogenous retinal detachment: a matched case-control study
title Clinical characteristics and prognosis of Total Rhegmatogenous retinal detachment: a matched case-control study
title_full Clinical characteristics and prognosis of Total Rhegmatogenous retinal detachment: a matched case-control study
title_fullStr Clinical characteristics and prognosis of Total Rhegmatogenous retinal detachment: a matched case-control study
title_full_unstemmed Clinical characteristics and prognosis of Total Rhegmatogenous retinal detachment: a matched case-control study
title_short Clinical characteristics and prognosis of Total Rhegmatogenous retinal detachment: a matched case-control study
title_sort clinical characteristics and prognosis of total rhegmatogenous retinal detachment: a matched case-control study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7359495/
https://www.ncbi.nlm.nih.gov/pubmed/32660545
http://dx.doi.org/10.1186/s12886-020-01560-4
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