Erschienen in:
Retina, 40 (2020) 6, Seite 1153-1159
Sprache:
Englisch
DOI:
10.1097/iae.0000000000002565
ISSN:
0275-004X
Entstehung:
Anmerkungen:
Beschreibung:
<jats:sec>
<jats:title>Purpose:</jats:title>
<jats:p>To identify factors associated with persistent subretinal fluid (SRF) after small-gauge pars plana vitrectomy for primary rhegmatogenous retinal detachment.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Methods:</jats:title>
<jats:p>This retrospective study included patients from 2 tertiary centers who underwent pars plana vitrectomy for repair of rhegmatogenous retinal detachment between 2013 and 2016. Preoperative and intraoperative parameters were examined for association with development of SRF.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results:</jats:title>
<jats:p>Overall, 153 eyes of 153 patients, mean age of 55.2 ± 17.9 years were included. Persistent SRF occurred in 15.0% (n = 23) and was associated with high myopia (65.22 vs. 26.15%, <jats:italic toggle="yes">P</jats:italic> < 0.001), macula-involving retinal detachment (91.30 vs. 66.15%, <jats:italic toggle="yes">P</jats:italic> = 0.02), phakic lens status (86.96 vs. 66.15%, <jats:italic toggle="yes">P</jats:italic> = 0.04), and younger age (47.8 ± 18.7 vs. 56.5 ± 17.5, <jats:italic toggle="yes">P</jats:italic> = 0.04) while drainage retinotomy was protective (13.04 vs. 34.11%, <jats:italic toggle="yes">P</jats:italic> = 0.04). In multivariate analysis, high myopia (<jats:italic toggle="yes">P</jats:italic> = 0.009) and macula-involving retinal detachment (<jats:italic toggle="yes">P</jats:italic> = 0.004) were associated with SRF, while drainage retinotomy was protective (<jats:italic toggle="yes">P</jats:italic> = 0.03). Persistent SRF was associated with outer retinal band irregularity (30.4 vs. 9.3%, <jats:italic toggle="yes">P</jats:italic> = 0.005). There were no significant differences in terms of change in best-corrected visual acuity from presentation (<jats:italic toggle="yes">P</jats:italic> = 0.70), or final best-corrected visual acuity (<jats:italic toggle="yes">P</jats:italic> = 0.54).</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusion:</jats:title>
<jats:p>Eyes with preoperative high myopia and macular involvement, and those in which a drainage retinotomy was not performed, were more likely to develop persistent SRF.</jats:p>
</jats:sec>