Ingen Shu1,2, Hiroto Ishikawa1,2, Hiroki Nishikawa3, Shohei Morikawa1,4, Fumiki Okamoto1,4, Taiji Sakamoto1,5, Masahiko Sugimoto1,6, Mineo Kondo1,6, Masanori Iwasaki1,7, Takamasa Kinoshita1,7, Toshi Toibana1,8, Yoshinori Mitamura1,8, Yoshihiro Takamura1,9, Ryosuke Motohashi1,10, Masahiko Shimura1,10, Yutaka Sakurai1,11, Masaru Takeuchi1,11, Fumi Gomi1,2. 1. J-CREST (Japan Clinical REtina STudy group), Kagoshima, Japan. 2. Department of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Japan. 3. Center for Clinical Research and Education, Hyogo College of Medicine, Nishinomiya, Japan. 4. Department of Ophthalmology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan. 5. Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. 6. Department of Ophthalmology, Mie University, Tsu, Japan. 7. Department of Ophthalmology, Sapporo City General Hospital, Sapporo, Japan. 8. Department of Ophthalmology, Tokushima University, Tokushima, Japan. 9. Department of Ophthalmology, Fukui University, Yoshida, Japan. 10. Department of Ophthalmology, Tokyo Medical University Hachioji Medical Center, Hachioji, Japan. 11. Department of Ophthalmology, National Defense Medical College, Tokorozawa, Japan.
Abstract
PURPOSE: To evaluate real-world evidence for young Japanese patients with rhegmatogenous retinal detachment (RRD) by retrospectively examining surgical procedures and clinical outcomes in the Japan Clinical Retina Study group. METHODS: This was a multicentre retrospective study of the medical records of 562 young patients (384 males and 178 females; mean age: 33.0 ± 11.8 years) who had been diagnosed with RRD and who underwent surgical procedures in participating centres during the period between April 2013 and August 2016. RESULTS: The selected surgeries were scleral buckling (SB) for 295 eyes (49.7%) and pars plana vitrectomy (PPV) for 262 eyes (44.1%). Between the two surgical procedures, there was no significant difference in the primary anatomical reattachment rate (PARR, SB = 92.2%, PPV = 93.9%); improvements in vision were noted in both groups. The incidences of proliferative vitreoretinopathy and cataract formation within 1 year of PPV were 2.3% (p = 0.0047) and 6.5% (p = 0.0005), whereas they were 0% and 1.0% in the SB group, respectively. CONCLUSION: Scleral buckling (SB) and PPV were chosen with almost equal frequency for young patients with RRD. Clinical outcomes for SB and PPV exhibited a similar PARR. The incidence of cataract formation after PPV may constitute an important limitation of the procedure.
PURPOSE: To evaluate real-world evidence for young Japanese patients with rhegmatogenous retinal detachment (RRD) by retrospectively examining surgical procedures and clinical outcomes in the Japan Clinical Retina Study group. METHODS: This was a multicentre retrospective study of the medical records of 562 young patients (384 males and 178 females; mean age: 33.0 ± 11.8 years) who had been diagnosed with RRD and who underwent surgical procedures in participating centres during the period between April 2013 and August 2016. RESULTS: The selected surgeries were scleral buckling (SB) for 295 eyes (49.7%) and pars plana vitrectomy (PPV) for 262 eyes (44.1%). Between the two surgical procedures, there was no significant difference in the primary anatomical reattachment rate (PARR, SB = 92.2%, PPV = 93.9%); improvements in vision were noted in both groups. The incidences of proliferative vitreoretinopathy and cataract formation within 1 year of PPV were 2.3% (p = 0.0047) and 6.5% (p = 0.0005), whereas they were 0% and 1.0% in the SB group, respectively. CONCLUSION: Scleral buckling (SB) and PPV were chosen with almost equal frequency for young patients with RRD. Clinical outcomes for SB and PPV exhibited a similar PARR. The incidence of cataract formation after PPV may constitute an important limitation of the procedure.
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