دورية أكاديمية
أعرض في EDS

Characteristics of pseudophakic retinal detachment and risk factors of recurrence.

التفاصيل البيبلوغرافية
العنوان: Characteristics of pseudophakic retinal detachment and risk factors of recurrence.
المؤلفون: Gibelalde A; Departamento de Oftalmología, Hospital Universitario de Donostia, Donostia-San Sebastián, Gipuzkoa, Spain. Electronic address: anegibelalde@hotmail.com., Pinar-Sueiro S; Departamento de Oftalmología, Hospital Universitario de Donostia, Donostia-San Sebastián, Gipuzkoa, Spain., Ibarrondo O; Unidad de Investigación AP-OSI, Alto Deba Integrated Health Care Organization, Arrasate-Mondragón, Mondragon, Spain., Ruiz Miguel M; Departamento de Oftalmología, Hospital Universitario de Donostia, Donostia-San Sebastián, Gipuzkoa, Spain., Martínez Soroa I; Departamento de Oftalmología, Hospital Universitario de Donostia, Donostia-San Sebastián, Gipuzkoa, Spain., Mendicute J; Departamento de Oftalmología, Hospital Universitario de Donostia, Donostia-San Sebastián, Gipuzkoa, Spain.
المصدر: Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol (Engl Ed)] 2024 Sep; Vol. 99 (9), pp. 365-372. Date of Electronic Publication: 2024 May 31.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier España Country of Publication: Spain NLM ID: 101715860 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2173-5794 (Electronic) Linking ISSN: 21735794 NLM ISO Abbreviation: Arch Soc Esp Oftalmol (Engl Ed) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Madrid : Elsevier España
مواضيع طبية MeSH: Retinal Detachment*/etiology , Recurrence* , Pseudophakia*/complications , Pseudophakia*/etiology , Phacoemulsification*, Humans ; Middle Aged ; Retrospective Studies ; Male ; Female ; Risk Factors ; Aged ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Vitrectomy ; Time Factors
مستخلص: Background: The present study was designed to gain knowledge about the prognostic factors and evolution of pseudophakic retinal detachment (PRD) and to analyse the main characteristics of PRD, such as the mean time to retinal detachment following cataract surgery, as well as the clinical factors associated with the risk of recurrence and worse anatomical and functional outcomes.
Methods: This was a retrospective monocentric study of 330 patients with PRD who underwent surgery between 2012 and 2020. All patients were pseudophakic and were referred for retinal detachment surgery at Donostia University Hospital (Terciary Hospital, Spain).
Results: The mean age of the patients at the time of phacoemulsification was 63.06 ± 10.8 years, and 49.09% of them had moderate myopia [axial length (AL) (23.5-26.5 mm)]. In our series, macular detachment was evident in 69.09% (n = 228) of the patients. The mean time that elapsed between phacoemulsification and PRD surgery was 4.04 ± 4.17 years, which was reduced by half in the event of surgical complications (2.24 ± 2.65). The rate of PRD was 28.79%. The anatomical results in terms of retinal reapplication were better with the combination of vitrectomy and scleral buckling (83.1% vs. 70.5%) (p = 0,127) compared with vitrectomy. The variables associated with a higher risk of recurrence were male sex (hazard ratio (HR) = 1.75), macular detachment (HR = 2.00) and the presence of proliferative vitreoretinopathy (PVR) (HR = 3.21).
Conclusions: PRD usually occurs within 4 years of phacoemulsification, although it may occur significantly earlier in the event of surgical complications. Macular involvement, PVR, and male sex are all associated with a higher risk of PRD recurrence.
(Copyright © 2024 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.)
فهرسة مساهمة: Keywords: Desprendimiento de retina; Facoemulsificación; Phacoemulsification; Pseudofaquia; Pseudophakic; Recidiva; Relapse; Retinal detachment
تواريخ الأحداث: Date Created: 20240601 Date Completed: 20240902 Latest Revision: 20240902
رمز التحديث: 20240902
DOI: 10.1016/j.oftale.2024.05.009
PMID: 38823449
قاعدة البيانات: MEDLINE
الوصف
تدمد:2173-5794
DOI:10.1016/j.oftale.2024.05.009