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- W4384207178 abstract "To evaluate surgical outcomes in eyes with primary rhegmatogenous retinal detachment (RRD) deemed at high risk for postoperative proliferative vitreoretinopathy (PVR). Retrospective, consecutive case cohort study. Eyes undergoing primary RRD repair with pars plana vitrectomy (PPV) or combined PPV with scleral buckling (PPV/SB) between January 1, 2016, and December 30, 2017, at Wills Eye Hospital. Eyes were defined as ”high risk” if ≥ 1 of the following risk factors for PVR was present on preoperative examination: preoperative PVR grade A or B, vitreous hemorrhage, RRD involving ≥ 50% of retinal area, presence of ≥ 3 retinal breaks, history of prior cryotherapy, presence of choroidal detachment, or duration of RRD > 2 weeks. Surgical failure was defined as an additional intervention required for the retinal reattachment. Single surgery attachment success (SSAS) rate 3 months after first surgical intervention for primary RRD. Of 2053 reviewed charts, a total of 389 eyes (18.9%) met the definition of high risk and were included in the analysis. Mean patient age was 63.5 years. PPV/SB was performed in 125 (32.1%) eyes and PPV alone in 264 (67.9%) eyes. SSAS rate of the overall cohort was 71.5% at 3 months. SSAS rate was significantly higher in eyes treated with PPV/SB compared with PPV (80.8% vs. 67%, respectively, P = 0.006). On multivariate analysis, use of PPV/SB was the only feature associated with SSAS (odds ratio, 2.04; 95% confidence interval, 1.12–3.69, P = 0.019). In eyes with primary RRD and risk factors for PVR, overall SSAS was 71.5% after primary repair. In this cohort, use of PPV/SB was associated with a significantly higher SSAS compared with PPV alone. Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.." @default.
- W4384207178 created "2023-07-14" @default.
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- W4384207178 date "2023-07-01" @default.
- W4384207178 modified "2023-10-17" @default.
- W4384207178 title "Primary Retinal Detachment Repair in Eyes Deemed High Risk for Proliferative Vitreoretinopathy" @default.
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- W4384207178 doi "https://doi.org/10.1016/j.oret.2023.07.009" @default.
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