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Risk factors for macular pucker after rhegmatogenous retinal detachment surgery

Macular pucker, also known as an epiretinal membrane, sometimes forms after surgical repair of a rhegmatogenous retinal detachment (RRD) and can decrease visual acuity and cause aniseikonia. However, few reports are evaluating the risk factors of macular pucker using multivariate analysis. To evalua...

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Autores principales: Hirakata, Toshiaki, Hiratsuka, Yoshimune, Yamamoto, Shutaro, Kanbayashi, Koki, Kobayashi, Hiroaki, Murakami, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8440624/
https://www.ncbi.nlm.nih.gov/pubmed/34521926
http://dx.doi.org/10.1038/s41598-021-97738-x
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author Hirakata, Toshiaki
Hiratsuka, Yoshimune
Yamamoto, Shutaro
Kanbayashi, Koki
Kobayashi, Hiroaki
Murakami, Akira
author_facet Hirakata, Toshiaki
Hiratsuka, Yoshimune
Yamamoto, Shutaro
Kanbayashi, Koki
Kobayashi, Hiroaki
Murakami, Akira
author_sort Hirakata, Toshiaki
collection PubMed
description Macular pucker, also known as an epiretinal membrane, sometimes forms after surgical repair of a rhegmatogenous retinal detachment (RRD) and can decrease visual acuity and cause aniseikonia. However, few reports are evaluating the risk factors of macular pucker using multivariate analysis. To evaluate the risk factors for macular pucker after RRD surgery, 226 patients who underwent RRD surgery and were monitored for greater than 12 months (23.2 ± 6.4 months) after surgery were analyzed retrospectively. Of these cases, macular pucker developed in 26 cases. Multiple logistic regression models of 22 clinical characteristics were performed. An increased risk of macular pucker after RRD surgery was significantly associated with preoperative vitreous haemorrhage (Odds ratio (OR), 4.71; 95% CI 1.19–18.62), multiple retinal breaks (OR, 8.07; 95% CI 2.35–27.71), re-detachment (OR, 19.66; 95% CI 4.87–79.38), and retinal detachment area (OR, 12.91; 95% CI 2.34–71.19). Macular pucker was not associated with the surgical technique. Regardless of the surgical technique used, careful observation for postoperative macular pucker is needed after RRD surgery in high-risk cases. These findings can be used to improve the surgical management of patients with RRD. (183 words).
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spelling pubmed-84406242021-09-20 Risk factors for macular pucker after rhegmatogenous retinal detachment surgery Hirakata, Toshiaki Hiratsuka, Yoshimune Yamamoto, Shutaro Kanbayashi, Koki Kobayashi, Hiroaki Murakami, Akira Sci Rep Article Macular pucker, also known as an epiretinal membrane, sometimes forms after surgical repair of a rhegmatogenous retinal detachment (RRD) and can decrease visual acuity and cause aniseikonia. However, few reports are evaluating the risk factors of macular pucker using multivariate analysis. To evaluate the risk factors for macular pucker after RRD surgery, 226 patients who underwent RRD surgery and were monitored for greater than 12 months (23.2 ± 6.4 months) after surgery were analyzed retrospectively. Of these cases, macular pucker developed in 26 cases. Multiple logistic regression models of 22 clinical characteristics were performed. An increased risk of macular pucker after RRD surgery was significantly associated with preoperative vitreous haemorrhage (Odds ratio (OR), 4.71; 95% CI 1.19–18.62), multiple retinal breaks (OR, 8.07; 95% CI 2.35–27.71), re-detachment (OR, 19.66; 95% CI 4.87–79.38), and retinal detachment area (OR, 12.91; 95% CI 2.34–71.19). Macular pucker was not associated with the surgical technique. Regardless of the surgical technique used, careful observation for postoperative macular pucker is needed after RRD surgery in high-risk cases. These findings can be used to improve the surgical management of patients with RRD. (183 words). Nature Publishing Group UK 2021-09-14 /pmc/articles/PMC8440624/ /pubmed/34521926 http://dx.doi.org/10.1038/s41598-021-97738-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This 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/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Hirakata, Toshiaki
Hiratsuka, Yoshimune
Yamamoto, Shutaro
Kanbayashi, Koki
Kobayashi, Hiroaki
Murakami, Akira
Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_full Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_fullStr Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_full_unstemmed Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_short Risk factors for macular pucker after rhegmatogenous retinal detachment surgery
title_sort risk factors for macular pucker after rhegmatogenous retinal detachment surgery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8440624/
https://www.ncbi.nlm.nih.gov/pubmed/34521926
http://dx.doi.org/10.1038/s41598-021-97738-x
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