Scleral buckling versus pars plana vitrectomy in simple phakic macula-on retinal detachment: a propensity score-matched, registry-based study

Background/AimsTo assess the anatomical and visual results of uncomplicated phakic macula-on retinal detachment (RD) in patients treated with pars plana vitrectomy (PPV) or scleral buckling (SB).MethodsA retrospective cohort of patients aged

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Veröffentlicht in:British journal of ophthalmology 2022-06, Vol.106 (6), p.857-862
Hauptverfasser: Kawano, Sumihiro, Imai, Takumi, Sakamoto, Taiji, Yamamoto, Shuichi, Baba, Takayuki, Sato, Eiju, Tatsumi, Tomoaki, Miura, Gen, Niizawa, Tomohiro, Yamakiri, Keita, Yamashita, Toshifumi, Otsuka, Hiroki, Sameshima, Seiji, Yoshinaga, Narimasa, Koto, Takashi, Inoue, Makoto, Hirota, Kazunari, Itoh, Yuji, Orihara, Tadashi, Emoto, Yoshinobu, Sano, Masahiko, Tokizawa, Ryo, Yamashita, Hidetoshi, Nishitsuka, Koichi, Nishi, Katsuhiro, Yoshida, Akitoshi, Ono, Shinji, Hirokawa, Hiroyuki, Sogawa, Kenji, Omae, Tsuneaki, Ishibazawa, Akihiro, Kishi, Shoji, Akiyama, Hideo, Matsumoto, Hidetaka, Mukai, Ryo, Morimoto, Masahiro, Nakazawa, Mitsuru, Suzuki, Yukihiko, Kudo, Takashi, Adachi, Kobu, Ishida, Susumu, Kase, Satoru, Ando, Ryo, Saito, Michiyuki, Suzuki, Tomohiro, Takahashi, Kanji, Nagai, Yoshimi, Nakauchi, Tadashi, Yamada, Haruiko, Kusaka, Shuji, Tsujioka, Daishi, Tsujikawa, Kiyoshi Suzuma, Ishibashi, Tatsuro, Sonoda, Koh-Hei, Ikeda, Yasuhiro, Kohno, Riichiro, Ishikawa, Keijiro, Kondo, Mineo, Kitaoka, Takashi, Tsuiki, Eiko, Yoshida, Munenori, Morita, Hiroshi, Kato, Aki, Hirano, Yoshio, Sugitani, Kazuhiko, Terasaki, Hiroko, Iwase, Takeshi, Ito, Yasuki, Ueno, Shinji, Kaneko, Hiroki, Kominami, Taro, Azuma, Noriyuki, Yokoi, Tadashi, Shimada, Hiroyuki, Nakashizuka, Hiroyuki, Hattori, Takayuki, Shinojima, Ari, Kutagawa, Yorihisa, Shiraga, Fumio, Morizane, Yuki, Kimura, Shuhei, Ikeda, Tsunehiko, Sato, Takaki, Nakashima, Hiroshi, Ohji, Masahito, Kakinoki, Masashi, Sawada, Osamu, Takeuchi, Shinobu, Tanaka, Sumiyoshi, Iida, Tomohiro, Maruko, Ichiro, Hasegawa, Taiji, Kogure, Akiko, Iijima, Hiroyuki, Oshiro, Tomohiro, Kikushima, Wataru, Sugiyama, Atsushi, Kadonosono, Kazuaki, Sato, Shimpei
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container_title British journal of ophthalmology
container_volume 106
creator Kawano, Sumihiro
Imai, Takumi
Sakamoto, Taiji
Yamamoto, Shuichi
Baba, Takayuki
Sato, Eiju
Tatsumi, Tomoaki
Miura, Gen
Niizawa, Tomohiro
Sakamoto, Taiji
Yamakiri, Keita
Yamashita, Toshifumi
Otsuka, Hiroki
Sameshima, Seiji
Yoshinaga, Narimasa
Koto, Takashi
Inoue, Makoto
Hirota, Kazunari
Itoh, Yuji
Orihara, Tadashi
Emoto, Yoshinobu
Sano, Masahiko
Tokizawa, Ryo
Yamashita, Hidetoshi
Nishitsuka, Koichi
Nishi, Katsuhiro
Yoshida, Akitoshi
Ono, Shinji
Hirokawa, Hiroyuki
Sogawa, Kenji
Omae, Tsuneaki
Ishibazawa, Akihiro
Kishi, Shoji
Akiyama, Hideo
Matsumoto, Hidetaka
Mukai, Ryo
Morimoto, Masahiro
Nakazawa, Mitsuru
Suzuki, Yukihiko
Kudo, Takashi
Adachi, Kobu
Ishida, Susumu
Kase, Satoru
Ando, Ryo
Saito, Michiyuki
Suzuki, Tomohiro
Takahashi, Kanji
Nagai, Yoshimi
Nakauchi, Tadashi
Yamada, Haruiko
Kusaka, Shuji
Tsujioka, Daishi
Tsujikawa, Kiyoshi Suzuma
Ishibashi, Tatsuro
Sonoda, Koh-Hei
Ikeda, Yasuhiro
Kohno, Riichiro
Ishikawa, Keijiro
Kondo, Mineo
Kitaoka, Takashi
Tsuiki, Eiko
Yoshida, Munenori
Morita, Hiroshi
Kato, Aki
Hirano, Yoshio
Sugitani, Kazuhiko
Terasaki, Hiroko
Iwase, Takeshi
Ito, Yasuki
Ueno, Shinji
Kaneko, Hiroki
Kominami, Taro
Azuma, Noriyuki
Yokoi, Tadashi
Shimada, Hiroyuki
Nakashizuka, Hiroyuki
Hattori, Takayuki
Shinojima, Ari
Kutagawa, Yorihisa
Shiraga, Fumio
Morizane, Yuki
Kimura, Shuhei
Ikeda, Tsunehiko
Sato, Takaki
Nakashima, Hiroshi
Ohji, Masahito
Kakinoki, Masashi
Sawada, Osamu
Takeuchi, Shinobu
Tanaka, Sumiyoshi
Iida, Tomohiro
Maruko, Ichiro
Hasegawa, Taiji
Kogure, Akiko
Iijima, Hiroyuki
Oshiro, Tomohiro
Kikushima, Wataru
Sugiyama, Atsushi
Kadonosono, Kazuaki
Sato, Shimpei
description Background/AimsTo assess the anatomical and visual results of uncomplicated phakic macula-on retinal detachment (RD) in patients treated with pars plana vitrectomy (PPV) or scleral buckling (SB).MethodsA retrospective cohort of patients aged
doi_str_mv 10.1136/bjophthalmol-2020-318451
format Article
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Imai, Takumi ; Sakamoto, Taiji ; Yamamoto, Shuichi ; Baba, Takayuki ; Sato, Eiju ; Tatsumi, Tomoaki ; Miura, Gen ; Niizawa, Tomohiro ; Sakamoto, Taiji ; Yamakiri, Keita ; Yamashita, Toshifumi ; Otsuka, Hiroki ; Sameshima, Seiji ; Yoshinaga, Narimasa ; Koto, Takashi ; Inoue, Makoto ; Hirota, Kazunari ; Itoh, Yuji ; Orihara, Tadashi ; Emoto, Yoshinobu ; Sano, Masahiko ; Tokizawa, Ryo ; Yamashita, Hidetoshi ; Nishitsuka, Koichi ; Nishi, Katsuhiro ; Yoshida, Akitoshi ; Ono, Shinji ; Hirokawa, Hiroyuki ; Sogawa, Kenji ; Omae, Tsuneaki ; Ishibazawa, Akihiro ; Kishi, Shoji ; Akiyama, Hideo ; Matsumoto, Hidetaka ; Mukai, Ryo ; Morimoto, Masahiro ; Nakazawa, Mitsuru ; Suzuki, Yukihiko ; Kudo, Takashi ; Adachi, Kobu ; Ishida, Susumu ; Kase, Satoru ; Ando, Ryo ; Saito, Michiyuki ; Suzuki, Tomohiro ; Takahashi, Kanji ; Nagai, Yoshimi ; Nakauchi, Tadashi ; Yamada, Haruiko ; Kusaka, Shuji ; Tsujioka, Daishi ; Tsujikawa, Kiyoshi Suzuma ; Ishibashi, Tatsuro ; Sonoda, Koh-Hei ; Ikeda, Yasuhiro ; Kohno, Riichiro ; Ishikawa, Keijiro ; Kondo, Mineo ; Kitaoka, Takashi ; Tsuiki, Eiko ; Yoshida, Munenori ; Morita, Hiroshi ; Kato, Aki ; Hirano, Yoshio ; Sugitani, Kazuhiko ; Terasaki, Hiroko ; Iwase, Takeshi ; Ito, Yasuki ; Ueno, Shinji ; Kaneko, Hiroki ; Kominami, Taro ; Azuma, Noriyuki ; Yokoi, Tadashi ; Shimada, Hiroyuki ; Nakashizuka, Hiroyuki ; Hattori, Takayuki ; Shinojima, Ari ; Kutagawa, Yorihisa ; Shiraga, Fumio ; Morizane, Yuki ; Kimura, Shuhei ; Ikeda, Tsunehiko ; Sato, Takaki ; Nakashima, Hiroshi ; Ohji, Masahito ; Kakinoki, Masashi ; Sawada, Osamu ; Takeuchi, Shinobu ; Tanaka, Sumiyoshi ; Iida, Tomohiro ; Maruko, Ichiro ; Hasegawa, Taiji ; Kogure, Akiko ; Iijima, Hiroyuki ; Oshiro, Tomohiro ; Kikushima, Wataru ; Sugiyama, Atsushi ; Kadonosono, Kazuaki ; Sato, Shimpei</creator><creatorcontrib>Kawano, Sumihiro ; Imai, Takumi ; Sakamoto, Taiji ; Yamamoto, Shuichi ; Baba, Takayuki ; Sato, Eiju ; Tatsumi, Tomoaki ; Miura, Gen ; Niizawa, Tomohiro ; Sakamoto, Taiji ; Yamakiri, Keita ; Yamashita, Toshifumi ; Otsuka, Hiroki ; Sameshima, Seiji ; Yoshinaga, Narimasa ; Koto, Takashi ; Inoue, Makoto ; Hirota, Kazunari ; Itoh, Yuji ; Orihara, Tadashi ; Emoto, Yoshinobu ; Sano, Masahiko ; Tokizawa, Ryo ; Yamashita, Hidetoshi ; Nishitsuka, Koichi ; Nishi, Katsuhiro ; Yoshida, Akitoshi ; Ono, Shinji ; Hirokawa, Hiroyuki ; Sogawa, Kenji ; Omae, Tsuneaki ; Ishibazawa, Akihiro ; Kishi, Shoji ; Akiyama, Hideo ; Matsumoto, Hidetaka ; Mukai, Ryo ; Morimoto, Masahiro ; Nakazawa, Mitsuru ; Suzuki, Yukihiko ; Kudo, Takashi ; Adachi, Kobu ; Ishida, Susumu ; Kase, Satoru ; Ando, Ryo ; Saito, Michiyuki ; Suzuki, Tomohiro ; Takahashi, Kanji ; Nagai, Yoshimi ; Nakauchi, Tadashi ; Yamada, Haruiko ; Kusaka, Shuji ; Tsujioka, Daishi ; Tsujikawa, Kiyoshi Suzuma ; Ishibashi, Tatsuro ; Sonoda, Koh-Hei ; Ikeda, Yasuhiro ; Kohno, Riichiro ; Ishikawa, Keijiro ; Kondo, Mineo ; Kitaoka, Takashi ; Tsuiki, Eiko ; Yoshida, Munenori ; Morita, Hiroshi ; Kato, Aki ; Hirano, Yoshio ; Sugitani, Kazuhiko ; Terasaki, Hiroko ; Iwase, Takeshi ; Ito, Yasuki ; Ueno, Shinji ; Kaneko, Hiroki ; Kominami, Taro ; Azuma, Noriyuki ; Yokoi, Tadashi ; Shimada, Hiroyuki ; Nakashizuka, Hiroyuki ; Hattori, Takayuki ; Shinojima, Ari ; Kutagawa, Yorihisa ; Shiraga, Fumio ; Morizane, Yuki ; Kimura, Shuhei ; Ikeda, Tsunehiko ; Sato, Takaki ; Nakashima, Hiroshi ; Ohji, Masahito ; Kakinoki, Masashi ; Sawada, Osamu ; Takeuchi, Shinobu ; Tanaka, Sumiyoshi ; Iida, Tomohiro ; Maruko, Ichiro ; Hasegawa, Taiji ; Kogure, Akiko ; Iijima, Hiroyuki ; Oshiro, Tomohiro ; Kikushima, Wataru ; Sugiyama, Atsushi ; Kadonosono, Kazuaki ; Sato, Shimpei ; Japan-Retinal Detachment Registry Group</creatorcontrib><description>Background/AimsTo assess the anatomical and visual results of uncomplicated phakic macula-on retinal detachment (RD) in patients treated with pars plana vitrectomy (PPV) or scleral buckling (SB).MethodsA retrospective cohort of patients aged &lt;65 years and diagnosed with uncomplicated phakic macula-on primary RD, who were registered in the Japan-Retinal Detachment Registry, was compiled between February 2016 and March 2017. We performed propensity score matching using preoperative findings and surgeon-related factors as covariates to account for relevant confounders. The primary outcome was anatomical failures at 6 months postoperatively, classified as follows: level 1, an inoperable state; level 2, anatomical recovery with silicone oil tamponade; and level 3, need for additional surgery to repair the detachments. The secondary outcome was change in best-corrected visual acuity (BCVA).ResultsOf the 822 included patients, 552 underwent PPV and 270 underwent SB. After propensity score matching, 137 matched cases between the PPV and SB groups were analysed. The total proportion of surgical failures in the PPV group was higher than that in the SB group (risk difference, 0.10 (0.02 to 0.18), p=0.011, McNemar’s test). Conversely, the change in BCVA was not significantly different between the two groups (logMAR units, −0.015 (−0.084 to 0.053), p=0.66, paired samples t-test).ConclusionsAlthough the indications for PPV are becoming broader, PPV may not be the optimal approach for repairing all types of RD. Therefore, careful consideration is needed when selecting the right surgical technique for treating uncomplicated phakic macula-on RD cases.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjophthalmol-2020-318451</identifier><identifier>PMID: 33514527</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Cataracts ; Clinical science ; Dermatitis ; Eye diseases ; Patients ; Retina ; Retinal detachment ; Statistical analysis ; Surgeons ; Surgery ; Surgical outcomes ; treatment surgery ; Variables</subject><ispartof>British journal of ophthalmology, 2022-06, Vol.106 (6), p.857-862</ispartof><rights>Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2022 Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b498t-19ebcffec86402a671297911c3267ec7774c9c918f455a6a2faa8f995b30f3a53</citedby><cites>FETCH-LOGICAL-b498t-19ebcffec86402a671297911c3267ec7774c9c918f455a6a2faa8f995b30f3a53</cites><orcidid>0000-0003-0287-3801</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33514527$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawano, Sumihiro</creatorcontrib><creatorcontrib>Imai, Takumi</creatorcontrib><creatorcontrib>Sakamoto, Taiji</creatorcontrib><creatorcontrib>Yamamoto, Shuichi</creatorcontrib><creatorcontrib>Baba, Takayuki</creatorcontrib><creatorcontrib>Sato, Eiju</creatorcontrib><creatorcontrib>Tatsumi, Tomoaki</creatorcontrib><creatorcontrib>Miura, Gen</creatorcontrib><creatorcontrib>Niizawa, Tomohiro</creatorcontrib><creatorcontrib>Sakamoto, Taiji</creatorcontrib><creatorcontrib>Yamakiri, Keita</creatorcontrib><creatorcontrib>Yamashita, Toshifumi</creatorcontrib><creatorcontrib>Otsuka, Hiroki</creatorcontrib><creatorcontrib>Sameshima, Seiji</creatorcontrib><creatorcontrib>Yoshinaga, Narimasa</creatorcontrib><creatorcontrib>Koto, Takashi</creatorcontrib><creatorcontrib>Inoue, Makoto</creatorcontrib><creatorcontrib>Hirota, Kazunari</creatorcontrib><creatorcontrib>Itoh, Yuji</creatorcontrib><creatorcontrib>Orihara, Tadashi</creatorcontrib><creatorcontrib>Emoto, Yoshinobu</creatorcontrib><creatorcontrib>Sano, Masahiko</creatorcontrib><creatorcontrib>Tokizawa, Ryo</creatorcontrib><creatorcontrib>Yamashita, Hidetoshi</creatorcontrib><creatorcontrib>Nishitsuka, Koichi</creatorcontrib><creatorcontrib>Nishi, Katsuhiro</creatorcontrib><creatorcontrib>Yoshida, Akitoshi</creatorcontrib><creatorcontrib>Ono, Shinji</creatorcontrib><creatorcontrib>Hirokawa, Hiroyuki</creatorcontrib><creatorcontrib>Sogawa, Kenji</creatorcontrib><creatorcontrib>Omae, Tsuneaki</creatorcontrib><creatorcontrib>Ishibazawa, Akihiro</creatorcontrib><creatorcontrib>Kishi, Shoji</creatorcontrib><creatorcontrib>Akiyama, Hideo</creatorcontrib><creatorcontrib>Matsumoto, Hidetaka</creatorcontrib><creatorcontrib>Mukai, Ryo</creatorcontrib><creatorcontrib>Morimoto, Masahiro</creatorcontrib><creatorcontrib>Nakazawa, Mitsuru</creatorcontrib><creatorcontrib>Suzuki, Yukihiko</creatorcontrib><creatorcontrib>Kudo, Takashi</creatorcontrib><creatorcontrib>Adachi, Kobu</creatorcontrib><creatorcontrib>Ishida, Susumu</creatorcontrib><creatorcontrib>Kase, Satoru</creatorcontrib><creatorcontrib>Ando, Ryo</creatorcontrib><creatorcontrib>Saito, Michiyuki</creatorcontrib><creatorcontrib>Suzuki, Tomohiro</creatorcontrib><creatorcontrib>Takahashi, Kanji</creatorcontrib><creatorcontrib>Nagai, Yoshimi</creatorcontrib><creatorcontrib>Nakauchi, Tadashi</creatorcontrib><creatorcontrib>Yamada, Haruiko</creatorcontrib><creatorcontrib>Kusaka, Shuji</creatorcontrib><creatorcontrib>Tsujioka, Daishi</creatorcontrib><creatorcontrib>Tsujikawa, Kiyoshi Suzuma</creatorcontrib><creatorcontrib>Ishibashi, Tatsuro</creatorcontrib><creatorcontrib>Sonoda, Koh-Hei</creatorcontrib><creatorcontrib>Ikeda, Yasuhiro</creatorcontrib><creatorcontrib>Kohno, Riichiro</creatorcontrib><creatorcontrib>Ishikawa, Keijiro</creatorcontrib><creatorcontrib>Kondo, Mineo</creatorcontrib><creatorcontrib>Kitaoka, Takashi</creatorcontrib><creatorcontrib>Tsuiki, Eiko</creatorcontrib><creatorcontrib>Yoshida, Munenori</creatorcontrib><creatorcontrib>Morita, Hiroshi</creatorcontrib><creatorcontrib>Kato, Aki</creatorcontrib><creatorcontrib>Hirano, Yoshio</creatorcontrib><creatorcontrib>Sugitani, Kazuhiko</creatorcontrib><creatorcontrib>Terasaki, Hiroko</creatorcontrib><creatorcontrib>Iwase, Takeshi</creatorcontrib><creatorcontrib>Ito, Yasuki</creatorcontrib><creatorcontrib>Ueno, Shinji</creatorcontrib><creatorcontrib>Kaneko, Hiroki</creatorcontrib><creatorcontrib>Kominami, Taro</creatorcontrib><creatorcontrib>Azuma, Noriyuki</creatorcontrib><creatorcontrib>Yokoi, Tadashi</creatorcontrib><creatorcontrib>Shimada, Hiroyuki</creatorcontrib><creatorcontrib>Nakashizuka, Hiroyuki</creatorcontrib><creatorcontrib>Hattori, Takayuki</creatorcontrib><creatorcontrib>Shinojima, Ari</creatorcontrib><creatorcontrib>Kutagawa, Yorihisa</creatorcontrib><creatorcontrib>Shiraga, Fumio</creatorcontrib><creatorcontrib>Morizane, Yuki</creatorcontrib><creatorcontrib>Kimura, Shuhei</creatorcontrib><creatorcontrib>Ikeda, Tsunehiko</creatorcontrib><creatorcontrib>Sato, Takaki</creatorcontrib><creatorcontrib>Nakashima, Hiroshi</creatorcontrib><creatorcontrib>Ohji, Masahito</creatorcontrib><creatorcontrib>Kakinoki, Masashi</creatorcontrib><creatorcontrib>Sawada, Osamu</creatorcontrib><creatorcontrib>Takeuchi, Shinobu</creatorcontrib><creatorcontrib>Tanaka, Sumiyoshi</creatorcontrib><creatorcontrib>Iida, Tomohiro</creatorcontrib><creatorcontrib>Maruko, Ichiro</creatorcontrib><creatorcontrib>Hasegawa, Taiji</creatorcontrib><creatorcontrib>Kogure, Akiko</creatorcontrib><creatorcontrib>Iijima, Hiroyuki</creatorcontrib><creatorcontrib>Oshiro, Tomohiro</creatorcontrib><creatorcontrib>Kikushima, Wataru</creatorcontrib><creatorcontrib>Sugiyama, Atsushi</creatorcontrib><creatorcontrib>Kadonosono, Kazuaki</creatorcontrib><creatorcontrib>Sato, Shimpei</creatorcontrib><creatorcontrib>Japan-Retinal Detachment Registry Group</creatorcontrib><title>Scleral buckling versus pars plana vitrectomy in simple phakic macula-on retinal detachment: a propensity score-matched, registry-based study</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><addtitle>Br J Ophthalmol</addtitle><description>Background/AimsTo assess the anatomical and visual results of uncomplicated phakic macula-on retinal detachment (RD) in patients treated with pars plana vitrectomy (PPV) or scleral buckling (SB).MethodsA retrospective cohort of patients aged &lt;65 years and diagnosed with uncomplicated phakic macula-on primary RD, who were registered in the Japan-Retinal Detachment Registry, was compiled between February 2016 and March 2017. We performed propensity score matching using preoperative findings and surgeon-related factors as covariates to account for relevant confounders. The primary outcome was anatomical failures at 6 months postoperatively, classified as follows: level 1, an inoperable state; level 2, anatomical recovery with silicone oil tamponade; and level 3, need for additional surgery to repair the detachments. The secondary outcome was change in best-corrected visual acuity (BCVA).ResultsOf the 822 included patients, 552 underwent PPV and 270 underwent SB. After propensity score matching, 137 matched cases between the PPV and SB groups were analysed. The total proportion of surgical failures in the PPV group was higher than that in the SB group (risk difference, 0.10 (0.02 to 0.18), p=0.011, McNemar’s test). Conversely, the change in BCVA was not significantly different between the two groups (logMAR units, −0.015 (−0.084 to 0.053), p=0.66, paired samples t-test).ConclusionsAlthough the indications for PPV are becoming broader, PPV may not be the optimal approach for repairing all types of RD. Therefore, careful consideration is needed when selecting the right surgical technique for treating uncomplicated phakic macula-on RD cases.</description><subject>Cataracts</subject><subject>Clinical science</subject><subject>Dermatitis</subject><subject>Eye diseases</subject><subject>Patients</subject><subject>Retina</subject><subject>Retinal detachment</subject><subject>Statistical analysis</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>treatment 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LTD</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0287-3801</orcidid></search><sort><creationdate>20220601</creationdate><title>Scleral buckling versus pars plana vitrectomy in simple phakic macula-on retinal detachment: a propensity score-matched, registry-based study</title><author>Kawano, Sumihiro ; Imai, Takumi ; Sakamoto, Taiji ; Yamamoto, Shuichi ; Baba, Takayuki ; Sato, Eiju ; Tatsumi, Tomoaki ; Miura, Gen ; Niizawa, Tomohiro ; Sakamoto, Taiji ; Yamakiri, Keita ; Yamashita, Toshifumi ; Otsuka, Hiroki ; Sameshima, Seiji ; Yoshinaga, Narimasa ; Koto, Takashi ; Inoue, Makoto ; Hirota, Kazunari ; Itoh, Yuji ; Orihara, Tadashi ; Emoto, Yoshinobu ; Sano, Masahiko ; Tokizawa, Ryo ; Yamashita, Hidetoshi ; Nishitsuka, Koichi ; Nishi, Katsuhiro ; Yoshida, Akitoshi ; Ono, Shinji ; Hirokawa, Hiroyuki ; Sogawa, Kenji ; Omae, Tsuneaki ; Ishibazawa, Akihiro ; Kishi, Shoji ; Akiyama, Hideo ; Matsumoto, Hidetaka ; Mukai, Ryo ; Morimoto, Masahiro ; Nakazawa, Mitsuru ; Suzuki, Yukihiko ; Kudo, Takashi ; Adachi, Kobu ; Ishida, Susumu ; Kase, Satoru ; Ando, Ryo ; Saito, Michiyuki ; Suzuki, Tomohiro ; Takahashi, Kanji ; Nagai, Yoshimi ; Nakauchi, Tadashi ; Yamada, Haruiko ; Kusaka, Shuji ; Tsujioka, Daishi ; Tsujikawa, Kiyoshi Suzuma ; Ishibashi, Tatsuro ; Sonoda, Koh-Hei ; Ikeda, Yasuhiro ; Kohno, Riichiro ; Ishikawa, Keijiro ; Kondo, Mineo ; Kitaoka, Takashi ; Tsuiki, Eiko ; Yoshida, Munenori ; Morita, Hiroshi ; Kato, Aki ; Hirano, Yoshio ; Sugitani, Kazuhiko ; Terasaki, Hiroko ; Iwase, Takeshi ; Ito, Yasuki ; Ueno, Shinji ; Kaneko, Hiroki ; Kominami, Taro ; Azuma, Noriyuki ; Yokoi, Tadashi ; Shimada, Hiroyuki ; Nakashizuka, Hiroyuki ; Hattori, Takayuki ; Shinojima, Ari ; Kutagawa, Yorihisa ; Shiraga, Fumio ; Morizane, Yuki ; Kimura, Shuhei ; Ikeda, Tsunehiko ; Sato, Takaki ; Nakashima, Hiroshi ; Ohji, Masahito ; Kakinoki, Masashi ; Sawada, Osamu ; Takeuchi, Shinobu ; Tanaka, Sumiyoshi ; Iida, Tomohiro ; Maruko, Ichiro ; Hasegawa, Taiji ; Kogure, Akiko ; Iijima, Hiroyuki ; Oshiro, Tomohiro ; Kikushima, Wataru ; Sugiyama, Atsushi ; Kadonosono, Kazuaki ; Sato, Shimpei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b498t-19ebcffec86402a671297911c3267ec7774c9c918f455a6a2faa8f995b30f3a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cataracts</topic><topic>Clinical science</topic><topic>Dermatitis</topic><topic>Eye diseases</topic><topic>Patients</topic><topic>Retina</topic><topic>Retinal detachment</topic><topic>Statistical analysis</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>treatment surgery</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawano, Sumihiro</creatorcontrib><creatorcontrib>Imai, Takumi</creatorcontrib><creatorcontrib>Sakamoto, Taiji</creatorcontrib><creatorcontrib>Yamamoto, Shuichi</creatorcontrib><creatorcontrib>Baba, Takayuki</creatorcontrib><creatorcontrib>Sato, Eiju</creatorcontrib><creatorcontrib>Tatsumi, Tomoaki</creatorcontrib><creatorcontrib>Miura, Gen</creatorcontrib><creatorcontrib>Niizawa, Tomohiro</creatorcontrib><creatorcontrib>Sakamoto, Taiji</creatorcontrib><creatorcontrib>Yamakiri, Keita</creatorcontrib><creatorcontrib>Yamashita, Toshifumi</creatorcontrib><creatorcontrib>Otsuka, Hiroki</creatorcontrib><creatorcontrib>Sameshima, 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Hiroyuki</creatorcontrib><creatorcontrib>Oshiro, Tomohiro</creatorcontrib><creatorcontrib>Kikushima, Wataru</creatorcontrib><creatorcontrib>Sugiyama, Atsushi</creatorcontrib><creatorcontrib>Kadonosono, Kazuaki</creatorcontrib><creatorcontrib>Sato, Shimpei</creatorcontrib><creatorcontrib>Japan-Retinal Detachment Registry Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawano, Sumihiro</au><au>Imai, Takumi</au><au>Sakamoto, Taiji</au><au>Yamamoto, Shuichi</au><au>Baba, Takayuki</au><au>Sato, Eiju</au><au>Tatsumi, Tomoaki</au><au>Miura, Gen</au><au>Niizawa, Tomohiro</au><au>Sakamoto, Taiji</au><au>Yamakiri, Keita</au><au>Yamashita, Toshifumi</au><au>Otsuka, Hiroki</au><au>Sameshima, Seiji</au><au>Yoshinaga, Narimasa</au><au>Koto, Takashi</au><au>Inoue, Makoto</au><au>Hirota, Kazunari</au><au>Itoh, Yuji</au><au>Orihara, Tadashi</au><au>Emoto, Yoshinobu</au><au>Sano, Masahiko</au><au>Tokizawa, Ryo</au><au>Yamashita, Hidetoshi</au><au>Nishitsuka, Koichi</au><au>Nishi, Katsuhiro</au><au>Yoshida, Akitoshi</au><au>Ono, Shinji</au><au>Hirokawa, Hiroyuki</au><au>Sogawa, Kenji</au><au>Omae, Tsuneaki</au><au>Ishibazawa, Akihiro</au><au>Kishi, Shoji</au><au>Akiyama, Hideo</au><au>Matsumoto, Hidetaka</au><au>Mukai, Ryo</au><au>Morimoto, Masahiro</au><au>Nakazawa, Mitsuru</au><au>Suzuki, Yukihiko</au><au>Kudo, Takashi</au><au>Adachi, Kobu</au><au>Ishida, Susumu</au><au>Kase, Satoru</au><au>Ando, Ryo</au><au>Saito, Michiyuki</au><au>Suzuki, Tomohiro</au><au>Takahashi, Kanji</au><au>Nagai, Yoshimi</au><au>Nakauchi, Tadashi</au><au>Yamada, Haruiko</au><au>Kusaka, Shuji</au><au>Tsujioka, Daishi</au><au>Tsujikawa, Kiyoshi Suzuma</au><au>Ishibashi, Tatsuro</au><au>Sonoda, Koh-Hei</au><au>Ikeda, Yasuhiro</au><au>Kohno, Riichiro</au><au>Ishikawa, Keijiro</au><au>Kondo, Mineo</au><au>Kitaoka, Takashi</au><au>Tsuiki, Eiko</au><au>Yoshida, Munenori</au><au>Morita, Hiroshi</au><au>Kato, Aki</au><au>Hirano, Yoshio</au><au>Sugitani, Kazuhiko</au><au>Terasaki, Hiroko</au><au>Iwase, Takeshi</au><au>Ito, Yasuki</au><au>Ueno, Shinji</au><au>Kaneko, Hiroki</au><au>Kominami, Taro</au><au>Azuma, Noriyuki</au><au>Yokoi, Tadashi</au><au>Shimada, Hiroyuki</au><au>Nakashizuka, Hiroyuki</au><au>Hattori, Takayuki</au><au>Shinojima, Ari</au><au>Kutagawa, Yorihisa</au><au>Shiraga, Fumio</au><au>Morizane, Yuki</au><au>Kimura, Shuhei</au><au>Ikeda, Tsunehiko</au><au>Sato, Takaki</au><au>Nakashima, Hiroshi</au><au>Ohji, Masahito</au><au>Kakinoki, Masashi</au><au>Sawada, Osamu</au><au>Takeuchi, Shinobu</au><au>Tanaka, Sumiyoshi</au><au>Iida, Tomohiro</au><au>Maruko, Ichiro</au><au>Hasegawa, Taiji</au><au>Kogure, Akiko</au><au>Iijima, Hiroyuki</au><au>Oshiro, Tomohiro</au><au>Kikushima, Wataru</au><au>Sugiyama, Atsushi</au><au>Kadonosono, Kazuaki</au><au>Sato, Shimpei</au><aucorp>Japan-Retinal Detachment Registry Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Scleral buckling versus pars plana vitrectomy in simple phakic macula-on retinal detachment: a propensity score-matched, registry-based study</atitle><jtitle>British journal of ophthalmology</jtitle><stitle>Br J Ophthalmol</stitle><addtitle>Br J Ophthalmol</addtitle><date>2022-06-01</date><risdate>2022</risdate><volume>106</volume><issue>6</issue><spage>857</spage><epage>862</epage><pages>857-862</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><abstract>Background/AimsTo assess the anatomical and visual results of uncomplicated phakic macula-on retinal detachment (RD) in patients treated with pars plana vitrectomy (PPV) or scleral buckling (SB).MethodsA retrospective cohort of patients aged &lt;65 years and diagnosed with uncomplicated phakic macula-on primary RD, who were registered in the Japan-Retinal Detachment Registry, was compiled between February 2016 and March 2017. We performed propensity score matching using preoperative findings and surgeon-related factors as covariates to account for relevant confounders. The primary outcome was anatomical failures at 6 months postoperatively, classified as follows: level 1, an inoperable state; level 2, anatomical recovery with silicone oil tamponade; and level 3, need for additional surgery to repair the detachments. The secondary outcome was change in best-corrected visual acuity (BCVA).ResultsOf the 822 included patients, 552 underwent PPV and 270 underwent SB. After propensity score matching, 137 matched cases between the PPV and SB groups were analysed. The total proportion of surgical failures in the PPV group was higher than that in the SB group (risk difference, 0.10 (0.02 to 0.18), p=0.011, McNemar’s test). Conversely, the change in BCVA was not significantly different between the two groups (logMAR units, −0.015 (−0.084 to 0.053), p=0.66, paired samples t-test).ConclusionsAlthough the indications for PPV are becoming broader, PPV may not be the optimal approach for repairing all types of RD. Therefore, careful consideration is needed when selecting the right surgical technique for treating uncomplicated phakic macula-on RD cases.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>33514527</pmid><doi>10.1136/bjophthalmol-2020-318451</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-0287-3801</orcidid></addata></record>
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1468-2079
language eng
recordid cdi_proquest_miscellaneous_2483813827
source PubMed Central
subjects Cataracts
Clinical science
Dermatitis
Eye diseases
Patients
Retina
Retinal detachment
Statistical analysis
Surgeons
Surgery
Surgical outcomes
treatment surgery
Variables
title Scleral buckling versus pars plana vitrectomy in simple phakic macula-on retinal detachment: a propensity score-matched, registry-based study
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