Clinical variables associated with failure of retinal detachment repair: the European vitreo-retinal society retinal detachment study report number 4

To identify risk factors associated with failure of anatomic reattachment in primary rhegmatogenous retinal detachment repair. Nonrandomized, multicenter, collaborative study. Primary procedures for 7678 rhegmatogenous retinal detachments reported by 176 surgeons from 48 countries. We recorded specific preoperative clinical findings, repair method, and outcome after intervention. We performed univariate, bivariate, and multivariate analyses to identify variables associated with surgical failure. Final failure of retinal detachment repair (level 1), remaining silicone oil at study conclusion (level 2), and need for additional procedures to repair the detachment (level 3). We analyzed 7678 cases of rhegmatogenous retinal detachment repair. Presence of choroidal detachment or significant hypotony was associated with significantly higher level 1 failure rates when grade 0 or B proliferative vitreoretinopathy (PVR) was present and higher level 2 failure rates, regardless of PVR status (P