Abstract
Abstract
Background
To investigate the prevalence and predictors of retinal breaks reopening after vitrectomy with air tamponade in rhegmatogenous retinal detachment (RRD).
Methods
A retrospective cohort study was conducted in Shanghai General Hospital. Chart review was performed among 1715 patients with primary RRD who received pars plana vitrectomy (PPV) with air tamponade as initial management. Patients were followed up for recurrence. The clinical features of the eyes with retinal breaks reopening were recorded. Logistic regression was constructed to investigate the predictors for breaks reopening.
Results
A total of 137 (7.99%) patients had recurrent retinal detachment after PPV with air tamponade. The causes of surgery failure included new or missed retinal breaks (48.9%), reopening of original tears (43.8%) and proliferative vitreoretinopathy (7.3%). The median time to recurrence for the patients with breaks reopening was 18.0 days. Multivariate logistic regression indicated that the presence of retinal break(s) ≥ 1.5 disc diameters (DD) (odds ratio [OR]: 2.68, 95% confidence interval [CI]: 11.04–6.92, P = 0.041), and shorter period for restricted activities (OR: 0.94, 95% CI: 0.89–0.99, P = 0.020) were the independent predictors for breaks reopening.
Conclusions
Breaks reopening is an important cause for retinal redetachment after PPV with air tamponade in primary RRD. The first 2–4 weeks after surgery is the “risk period” for breaks reopening. Special attention should be paid for patients with retinal break(s) ≥ 1.5 DD. A prolonged period for restricted activities is recommended.
Funder
Clinical Research Innovation Plan of Shanghai General Hospital
Shanghai Science and Technology Development Foundation
National Natural Science Foundation of China
New Medical Technology in Key Disciplines of Shanghai General Hospital
Shanghai Rising Stars of Medical Talent Youth Development Program
Publisher
Springer Science and Business Media LLC
Subject
Ophthalmology,Health Professions (miscellaneous)
Reference32 articles.
1. Zhou C, Qiu Q, Zheng Z. Air Versus gas tamponade in rhegmatogenous retinal detachment with inferior breaks after 23-gauge pars plana vitrectomy: a prospective, randomized comparative interventional study. Retina. 2015;35(5):886–91.
2. Sinawat S, Ratanapakorn T, Sanguansak T, Prompol S, Laopaiboon M, Yospaiboon Y. Air vs. perfluoropropane gas in pneumatic retinopexy: a randomized noninferiority trial. Arch Ophthalmol. 2010;128(10):1243–7.
3. Hasegawa Y, Hata Y, Mochizuki Y, Arita R, Kawahara S, Kita T, et al. Equivalent tamponade by room air as compared with SF(6) after macular hole surgery. Graefes Arch Clin Exp Ophthalmol. 2009;247(11):1455–9.
4. Pak KY, Lee SJ, Kwon HJ, Park SW, Byon IS, Lee JE. Exclusive use of air as gas tamponade in rhegmatogenous retinal detachment. J Ophthalmol. 2017;2017:1341948.
5. Chen QY, Tang YX, He YQ, Lin HM, Gao RL, Li MY, et al. Air tamponade in retinal detachment surgery followed by ultra-widefield fundus imaging system. Int J Ophthalmol. 2018;11(7):1198–203.
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