J Korean Ophthalmol Soc.  2017 Dec;58(12):1388-1395. 10.3341/jkos.2017.58.12.1388.

Comparison of the Recurrence of RRD in PPV Combined Cataract Surgery with PPV Alone, and Risk Factors in PPV Combined Cataract Surgery

• Park HI
• Yoon MH
• Chin HS

• KMID: 2397853
• DOI: http://doi.org/10.3341/jkos.2017.58.12.1388

Abstract

PURPOSE
To compare the recurrence percentage and risk factors of recurrence in rhegmatogenous retinal detachment (RRD) after pars plana vitrectomy (PPV) by in two groups of patients according to combined cataract surgery.
METHODS
The recurrence percentage of RRD and risk factors after PPV over 20 years, performed by a single surgeon from January 1997 to September 2016, were retrospectively evaluated by classification into two groups according to combined cataract surgery. The risk factors were the patients' factors (age and sex), duration of disease, preoperative visual analyses, posterior capsular tears (PCR) during cataract surgery, the tamponade used, retinal detachment ranges, macular status, number and position of retinal tears, proliferative vitreoretinopathy (PVR) grade, and vitreous opacity. A total of 158 cases were included in the study.
RESULTS
The recurrence percentage of RRD was not associated with combined cataract surgery. In the combined cataract surgery group, PCR (p = 0.020), inferior retinal tears (p = 0.037), and PVR above grade B (p = 0.037) were associated with the recurrence of RRD using univariate logistic regression analyses, but PCR (odds ratio 1.880, p = 0.021) was the only significant risk factor for RRD using multivariate logistic regression analyses.
CONCLUSIONS
Cataract surgery can be performed at any time, but there should be consideration of the recurrence of RRD if there was PCR during combined cataract surgery.

Keyword

Combined cataract surgery; Recurrence; Rhegmatogenous retinal detachment; Risk factors; Vitrectomy

MeSH Terms

Cataract*
Classification
Humans
Logistic Models
Polymerase Chain Reaction
Recurrence*
Retinal Detachment
Retinal Perforations
Retrospective Studies
Risk Factors*
Tears
Vitrectomy
Vitreoretinopathy, Proliferative

Figure

• 

  Figure 1 Cumulative frequency of time of recurrence of retinal detachment after surgery. The median time of recurrence of retinal detachment was 60.00 weeks in group I and 64.57weeks in group II.

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