Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes

Aim To compare the anatomical and functional success of primary scleral buckling, performed either alone or in combination with vitrectomy, for primary retinal detachment (RD) in phakic eyes and in eyes had undergone uneventful phacoemulsification and had received posterior chamber lens implantation...

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Veröffentlicht in:Eye (London) 2005-08, Vol.19 (8), p.891-898
Hauptverfasser: Halberstadt, M, Chatterjee-Sanz, N, Brandenberg, L, Koerner-Stiefbold, U, Koerner, F, Garweg, J G
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container_end_page 898
container_issue 8
container_start_page 891
container_title Eye (London)
container_volume 19
creator Halberstadt, M
Chatterjee-Sanz, N
Brandenberg, L
Koerner-Stiefbold, U
Koerner, F
Garweg, J G
description Aim To compare the anatomical and functional success of primary scleral buckling, performed either alone or in combination with vitrectomy, for primary retinal detachment (RD) in phakic eyes and in eyes had undergone uneventful phacoemulsification and had received posterior chamber lens implantations. Methods A total of 243 consecutive patients were included in this retrospective, nonrandomized comparative study. In all, 165 phakic and 78 pseudophakic individuals with primary RD underwent scleral buckling alone or in combination with vitrectomy and were followed up for 6 months. Pre-, intra- and postoperative findings including anatomical success, best-corrected visual acuity (BCVA), complications, and the development of proliferative vitreoretinopathy (PVR), macular pucker, or secondary cataracts were recorded. Cases requiring more than one surgical intervention were defined having failed, although further surgical intervention might have led to success. Results At 6 months after scleral buckling alone, the anatomical success was similar in phakic (88.98%) and pseudophakic (87.65%) eyes (log rank=0.310). The corresponding results after scleral buckling with vitrectomy were 82.13 and 77.63% for phakic and pseudophakic eyes, respectively (log rank=0.799). At 6 months after scleral buckling alone, BCVA was similar in phakic and pseudophakic eyes (0.62±0.30 vs 0.70±0.29; P =0.227). Likewise, after scleral buckling with vitrectomy, BCVA did not differ significantly ( P =0.322) between phakic (0.34±0.32) and pseudophakic eyes (0.50±0.27). Conclusion The anatomical and functional outcome of primary retinal reattachment surgery, involving scleral buckling alone or in combination with vitrectomy, is similar in phakic and pseudophakic eyes.
doi_str_mv 10.1038/sj.eye.6701687
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Methods A total of 243 consecutive patients were included in this retrospective, nonrandomized comparative study. In all, 165 phakic and 78 pseudophakic individuals with primary RD underwent scleral buckling alone or in combination with vitrectomy and were followed up for 6 months. Pre-, intra- and postoperative findings including anatomical success, best-corrected visual acuity (BCVA), complications, and the development of proliferative vitreoretinopathy (PVR), macular pucker, or secondary cataracts were recorded. Cases requiring more than one surgical intervention were defined having failed, although further surgical intervention might have led to success. Results At 6 months after scleral buckling alone, the anatomical success was similar in phakic (88.98%) and pseudophakic (87.65%) eyes (log rank=0.310). The corresponding results after scleral buckling with vitrectomy were 82.13 and 77.63% for phakic and pseudophakic eyes, respectively (log rank=0.799). At 6 months after scleral buckling alone, BCVA was similar in phakic and pseudophakic eyes (0.62±0.30 vs 0.70±0.29; P =0.227). Likewise, after scleral buckling with vitrectomy, BCVA did not differ significantly ( P =0.322) between phakic (0.34±0.32) and pseudophakic eyes (0.50±0.27). Conclusion The anatomical and functional outcome of primary retinal reattachment surgery, involving scleral buckling alone or in combination with vitrectomy, is similar in phakic and pseudophakic eyes.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/sj.eye.6701687</identifier><identifier>PMID: 15389274</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Aged ; Aphakia, Postcataract - complications ; Biological and medical sciences ; clinical-study ; Female ; Humans ; Laboratory Medicine ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Miscellaneous ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Pseudophakia - complications ; Retinal Detachment - complications ; Retinal Detachment - pathology ; Retinal Detachment - surgery ; Retinopathies ; Retrospective Studies ; Scleral Buckling - adverse effects ; Surgery ; Surgical Oncology ; Treatment Outcome ; Visual Acuity ; Vitrectomy - adverse effects</subject><ispartof>Eye (London), 2005-08, Vol.19 (8), p.891-898</ispartof><rights>Royal College of Ophthalmologists 2005</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Aug 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-e298f7d509673b5d989b824c3ffed6279b92618e93fa1b5bd6b707a0191450943</citedby><cites>FETCH-LOGICAL-c430t-e298f7d509673b5d989b824c3ffed6279b92618e93fa1b5bd6b707a0191450943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.eye.6701687$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.eye.6701687$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17015862$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15389274$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Halberstadt, M</creatorcontrib><creatorcontrib>Chatterjee-Sanz, N</creatorcontrib><creatorcontrib>Brandenberg, L</creatorcontrib><creatorcontrib>Koerner-Stiefbold, U</creatorcontrib><creatorcontrib>Koerner, F</creatorcontrib><creatorcontrib>Garweg, J G</creatorcontrib><title>Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Aim To compare the anatomical and functional success of primary scleral buckling, performed either alone or in combination with vitrectomy, for primary retinal detachment (RD) in phakic eyes and in eyes had undergone uneventful phacoemulsification and had received posterior chamber lens implantations. Methods A total of 243 consecutive patients were included in this retrospective, nonrandomized comparative study. In all, 165 phakic and 78 pseudophakic individuals with primary RD underwent scleral buckling alone or in combination with vitrectomy and were followed up for 6 months. Pre-, intra- and postoperative findings including anatomical success, best-corrected visual acuity (BCVA), complications, and the development of proliferative vitreoretinopathy (PVR), macular pucker, or secondary cataracts were recorded. Cases requiring more than one surgical intervention were defined having failed, although further surgical intervention might have led to success. Results At 6 months after scleral buckling alone, the anatomical success was similar in phakic (88.98%) and pseudophakic (87.65%) eyes (log rank=0.310). The corresponding results after scleral buckling with vitrectomy were 82.13 and 77.63% for phakic and pseudophakic eyes, respectively (log rank=0.799). At 6 months after scleral buckling alone, BCVA was similar in phakic and pseudophakic eyes (0.62±0.30 vs 0.70±0.29; P =0.227). Likewise, after scleral buckling with vitrectomy, BCVA did not differ significantly ( P =0.322) between phakic (0.34±0.32) and pseudophakic eyes (0.50±0.27). 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Methods A total of 243 consecutive patients were included in this retrospective, nonrandomized comparative study. In all, 165 phakic and 78 pseudophakic individuals with primary RD underwent scleral buckling alone or in combination with vitrectomy and were followed up for 6 months. Pre-, intra- and postoperative findings including anatomical success, best-corrected visual acuity (BCVA), complications, and the development of proliferative vitreoretinopathy (PVR), macular pucker, or secondary cataracts were recorded. Cases requiring more than one surgical intervention were defined having failed, although further surgical intervention might have led to success. Results At 6 months after scleral buckling alone, the anatomical success was similar in phakic (88.98%) and pseudophakic (87.65%) eyes (log rank=0.310). The corresponding results after scleral buckling with vitrectomy were 82.13 and 77.63% for phakic and pseudophakic eyes, respectively (log rank=0.799). At 6 months after scleral buckling alone, BCVA was similar in phakic and pseudophakic eyes (0.62±0.30 vs 0.70±0.29; P =0.227). Likewise, after scleral buckling with vitrectomy, BCVA did not differ significantly ( P =0.322) between phakic (0.34±0.32) and pseudophakic eyes (0.50±0.27). Conclusion The anatomical and functional outcome of primary retinal reattachment surgery, involving scleral buckling alone or in combination with vitrectomy, is similar in phakic and pseudophakic eyes.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>15389274</pmid><doi>10.1038/sj.eye.6701687</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SpringerLink Journals - AutoHoldings
subjects Adult
Aged
Aphakia, Postcataract - complications
Biological and medical sciences
clinical-study
Female
Humans
Laboratory Medicine
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
Ophthalmology
Pharmaceutical Sciences/Technology
Pseudophakia - complications
Retinal Detachment - complications
Retinal Detachment - pathology
Retinal Detachment - surgery
Retinopathies
Retrospective Studies
Scleral Buckling - adverse effects
Surgery
Surgical Oncology
Treatment Outcome
Visual Acuity
Vitrectomy - adverse effects
title Primary retinal reattachment surgery: anatomical and functional outcome in phakic and pseudophakic eyes
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