David Yorston1, Paul H J Donachie2,3, D A Laidlaw4, David H Steel5,6, John M Sparrow3,7, G W Aylward8, Tom H Williamson4. 1. Gartnavel Hospital, Glasgow, UK. dbyorston@btinternet.com. 2. Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, GL53 7AN, UK. 3. The Royal College of Ophthalmologists' National Ophthalmology Audit, London, UK. 4. Guy's and St. Thomas' NHS Foundation Trust, London, UK. 5. Sunderland Eye Infirmary, Sunderland, UK. 6. Institute of Genetic Medicine, Newcastle University, Newcastle Upon Tyne, UK. 7. Bristol Eye Hospital, Lower Maudlin Street, Bristol, BS1 2LX, UK. 8. Moorfields Eye Hospital, City Road, London, EC1V 2PD, UK.
Abstract
OBJECTIVE: To identify risk factors affecting visual outcomes in successfully re-attached macula-off rhegmatogenous retinal detachment (RD) surgery. DESIGN: A prospective study, using online databases, of visual outcomes for 2074 macula-off retinal detachments that were successfully re-attached by vitrectomy and internal tamponade. The database included detailed retinal diagrams of each detachment. MAIN OUTCOME MEASURE: The probability of achieving a post-operative visual acuity (VA) of ≤0.30 LogMAR (Snellen 6/12 or better). RESULTS: Male patients accounted for 64.9% of the sample and the median age was 63 years old. The median pre-operative VA was counting fingers (LogMAR 1.98); this improved to 0.41 LogMAR post-operatively. A post-operative VA of ≤0.30 LogMAR was achieved for 1012 (48.8%) eyes and the factors affecting this were the patient age and gender, pre-operative VA, duration of central vision loss, PVR grade, lens status, total RD and the presence of any ocular co-pathology where the model area under the receiver operator curve was 71.6%. CONCLUSIONS: From the identified risk factors that decrease the probability of achieving a post-operative visual acuity of ≤0.30 LogMAR, the most important modifiable risk factor was the duration of central vision loss. Recent macula-off retinal detachments should be repaired within 72 h of the loss of central vision.
OBJECTIVE: To identify risk factors affecting visual outcomes in successfully re-attached macula-off rhegmatogenous retinal detachment (RD) surgery. DESIGN: A prospective study, using online databases, of visual outcomes for 2074 macula-off retinal detachments that were successfully re-attached by vitrectomy and internal tamponade. The database included detailed retinal diagrams of each detachment. MAIN OUTCOME MEASURE: The probability of achieving a post-operative visual acuity (VA) of ≤0.30 LogMAR (Snellen 6/12 or better). RESULTS: Male patients accounted for 64.9% of the sample and the median age was 63 years old. The median pre-operative VA was counting fingers (LogMAR 1.98); this improved to 0.41 LogMAR post-operatively. A post-operative VA of ≤0.30 LogMAR was achieved for 1012 (48.8%) eyes and the factors affecting this were the patient age and gender, pre-operative VA, duration of central vision loss, PVR grade, lens status, total RD and the presence of any ocular co-pathology where the model area under the receiver operator curve was 71.6%. CONCLUSIONS: From the identified risk factors that decrease the probability of achieving a post-operative visual acuity of ≤0.30 LogMAR, the most important modifiable risk factor was the duration of central vision loss. Recent macula-off retinal detachments should be repaired within 72 h of the loss of central vision.
Authors: Danny Mitry; Jaswinder Singh; David Yorston; M A Rehman Siddiqui; Alan Wright; Brian W Fleck; Harry Campbell; David G Charteris Journal: Ophthalmology Date: 2011-05-10 Impact factor: 12.079
Authors: Mathijs A J van de Put; Danna Croonen; Ilja M Nolte; Wouter J Japing; Johanna M M Hooymans; Leonoor I Los Journal: PLoS One Date: 2014-06-13 Impact factor: 3.240