AI Article Synopsis
- The study aimed to evaluate real-world outcomes of surgical procedures for rhegmatogenous retinal detachment (RRD) in young Japanese patients.
- The research involved analyzing the medical records of 562 patients from 2013 to 2016, focusing on two main surgical techniques: scleral buckling (SB) and pars plana vitrectomy (PPV).
- Results showed both surgeries had comparable success rates in reattaching the retina, but PPV had a higher risk of complications like cataract formation.
Article 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.
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| http://dx.doi.org/10.1111/aos.14050 | DOI Listing |
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