gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Predicitive parameters for functional and anatomic outcome of rhegmatogenous retinal detachment surgery in phakic eyes

Meeting Abstract

  • corresponding author M. Grueterich - University Eye Hospital, Ludwig-Maximilians-Universität Munich, Munich
  • P. Müller - University Eye Hospital, Ludwig-Maximilians-Universität Munich, Munich
  • A. Kampik - University Eye Hospital, Ludwig-Maximilians-Universität Munich, Munich
  • A. J. Mueller - University Eye Hospital, Ludwig-Maximilians-Universität Munich, Munich

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogSO.05.02

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog453.shtml

Veröffentlicht: 22. September 2004

© 2004 Grueterich et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Permanent retinal re-attachment and best potential visual acuity are the main goals of retinal detachment (RD) surgery. Various RD characteristics as well as RD surgery parameters are known to affect the anatomical and functional outcome.

Methods

Retrospectively we analyzed 163 consecutive patients with phakic retinal detachment. The mean follow-up was 37 months (95% [CI]: 16,3 - 50 months). 16 RD characteristics and RD surgery parameters were analyzed. Additionally we determined the power of all significant parameters using a stepwise regression analysis.

Results

The overall re-attachment rate was 100%. 120 (74%) patients required only one surgical procedure for permanent retinal re-attachment. 28 patients (17%) needed 1, 11 (7%) needed 2 and 4 (2%) needed 3 additional retinal surgery interventions. The pre-operative spherical equivalent was the only predictable parameter associated with the number of surgical procedures whereas the area of detached retina, number of retinal breaks and the presence of primary PVR were not. Visual acuity at the time of RD was 0,2 (95% [CI]: 0,001 - 1,0) compared to 0,6 (95% [CI]: 0,04 - 1,0) at the end of follow-up (p<0,0001; paired t-Test). The area of detached retina and macular off RD were predictable parameters for reduced visual acuity at the end of follow-up whereas number of retinal breaks and primary PVR were not.

Conclusions

RD of advanced clinical stages like large area of detached retinal, primary PVR, multiple retinal breaks and macula-off RD can be successfully re-attached with a significant increase in visual acuity using modern RD surgical procedures.