Surgical Outcomes of Primary Noncomplex Rhegmatogenous Retinal Detachment in Young Adults

Authors

Jessica Jiamei Lee
Michael J. Ammar
Louis Z. Cai
Anthony Obeid
Omesh Gupta
Jason Hsu
Matthew Starr
Luv Patel
Taku Wakabayashi
Antonio Capone, Corewell Health
Geoffrey G. Emerson
Dean Eliott
Daniel P. Joseph
Carl Regillo
Edwin Ryan
Yoshihiro Yonekawa

Document Type

Conference Proceeding

Publication Date

6-2024

Publication Title

Investigative Ophthalmology and Visual Science

Abstract

Purpose : This study aims to describe anatomic and visual outcomes of young adults with uncomplicated primary RRD treated with scleral buckle (SB), pars plana vitrectomy (PPV), or both PPV/SB.

Methods : This is a multicenter, interventional cohort study. Patients aged 20-45 in the Primary Retinal Detachment Outcomes study were included, with a minimum requirement of 6 months follow-up. Patients with complex RRDs were excluded from this study. Primary outcomes were single surgery anatomic success (SSAS) and final visual acuity (VA). Multivariable cox proportional hazard models and multivariable logistic regression analysis were conducted for the two outcomes, redetachment rates and best available VA, which were assessed from 6 months to 2 years after surgery.

Results : One hundred sixty-five eyes met inclusion criteria, and median age was 37 years. SB was performed in 91 eyes (55%), PPV in 32 (19%), and PPV/SB in 42 (25%). SSAS rates were 79.3% for PPV alone, 83.7% for primary SB, and 92.7% for PPV/SB (ANOVA p = 0.25). When potential risk factors were adjusted for with a multivariable Cox proportional hazard regression model, eyes that underwent PPV were found to be more likely to result in redetachment compared to those who underwent PPV/SB (HR: 7.24, 95% CI: 1.25 – 42.1, p = 0.03), and eyes that underwent SB alone were not more likely to redetach than those that underwent PPV/SB (HR: 3.24, 95% CI: 0.63– 16.63, p = 0.16). When examining good vision (20/40 or better), eyes that underwent PPV/SB were less likely to result with good vision compared to eyes that underwent SB alone (OR: 0.26, 95% CI: 0.07 – 0.94, p = 0.04). Similarly, eyes that underwent PPV alone were less likely to obtain good vision compared to eyes that underwent SB alone (OR: 0.20, 95% CI: 0.05 – 0.81, p = 0.02).

Conclusions : For young adults in this study, primary SB had the best visual outcomes, and eyes that underwent PPV/SB were less likely to redetach compared to PPV alone.

Volume

65

Issue

7

First Page

6485

Comments

Association for Research in Vision and Ophthalmology Annual Meeting, ARVO 2024, May 5-9, 2024, Seattle, WA

Recommended Citation

Lee JJ, Ammar MJ, Cai LZ, Obeid A, Hsu J, Starr M, et al. [Capone A]. Surgical outcomes of primary noncomplex rhegmatogenous retinal detachment in young adults. Invest Ophthalmol Vis Sci. 2024 Jun;65(7):6485.