دورية أكاديمية
أعرض في EDS

Management of uncomplicated rhegmatogenous retinal detachments: a comparison of practice patterns and clinical outcomes in a real-world setting.

التفاصيل البيبلوغرافية
العنوان: Management of uncomplicated rhegmatogenous retinal detachments: a comparison of practice patterns and clinical outcomes in a real-world setting.
المؤلفون: Ong SS; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA.; Department of Ophthalmology, Wake Forest University School of Medicine, Winston-Salem, NC, USA., Ahmed I; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Gonzales A; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Aguwa UT; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Beatson B; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Dai X; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Pham AT; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Shah YS; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Zhou A; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Arsiwala LT; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA., Wang J; Johns Hopkins Biostatistics Center, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Handa JT; Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA. jthanda@jhmi.edu.
المصدر: Eye (London, England) [Eye (Lond)] 2023 Mar; Vol. 37 (4), pp. 684-691. Date of Electronic Publication: 2022 Mar 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 8703986 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5454 (Electronic) Linking ISSN: 0950222X NLM ISO Abbreviation: Eye (Lond) Subsets: MEDLINE
أسماء مطبوعة: Publication: <2003->: London : Nature Publishing Group
Original Publication: [London : Ophthalmological Society of the United Kingdom, 1987-
مواضيع طبية MeSH: Retinal Detachment*/surgery , Retinal Detachment*/etiology, Humans ; Treatment Outcome ; Visual Acuity ; Retrospective Studies ; Scleral Buckling/adverse effects ; Vitrectomy/adverse effects
مستخلص: Objective: To investigate practice patterns and clinical outcomes in the repair of uncomplicated rhegmatogenous retinal detachments (RRD) in a real-world setting over a 10-year period.
Methods: We compared preferences for scleral buckling (SB), pars plana vitrectomy (PPV), PPV/SB, or pneumatic retinopexy (PR) over time, and examined the 1-year single surgery anatomic success (SSAS) and best-corrected visual acuity (BCVA) at a tertiary academic institution from 2008-2018.
Results: Eight hundred eight eyes had RRD repair between 2008-2011 (n = 240), 2012-2014 (n = 271), and 2015-2017 (n = 297). Compared to 2008-2011, PPV was preferred over SB in 2012-2014 (OR: 2.93; 95% CI: 1.86-4.63) and 2015-2017 (OR: 5.94; 95% CI: 3.76-9.38), and over PPV/SB in 2012-2014 (OR: 2.74; 95% CI: 1.65-4.56) and 2015-2017 (OR: 3.16; 95% CI: 31.96-5.12). PR was uncommonly utilized (<10%). Younger surgeons (graduating 2010-2017) favored PPV over SB when compared to older surgeons [graduating 1984-2000 (OR: 1.77; 95% CI: 1.18-2.65) and 2001-2009 (OR 1.73; 95% CI: 1.14-2.65)], but similarly selected PPV vs. PPV/SB as their older counterparts (p > 0.05). Compared to PPV, SSAS was higher with SB (OR: 1.53; 95% CI: 1.03-2.26) and PPV/SB (OR: 2.55; 95% CI: 1.56-4.17). One-year BCVA was markedly improved compared to baseline only for eyes that achieved SSAS (p < 0.001).
Conclusions: Over the past 10 years, PPV has become the favored approach to repair uncomplicated RRD and this appears to be driven by younger surgeons' preferences. Given the superior long-term SSAS in SB and PPV/SB as compared to PPV, SB and PPV/SB should be more frequently considered when determining the appropriate repair strategy for uncomplicated RRD.
(© 2022. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.)
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تواريخ الأحداث: Date Created: 20220326 Date Completed: 20230313 Latest Revision: 20240302
رمز التحديث: 20240302
مُعرف محوري في PubMed: PMC9998441
DOI: 10.1038/s41433-022-02028-z
PMID: 35338355
قاعدة البيانات: MEDLINE
الوصف
تدمد:1476-5454
DOI:10.1038/s41433-022-02028-z