TY - JOUR
T1 - Factors affecting visual recovery after successful repair of macula-off retinal detachments
T2 - findings from a large prospective UK cohort study
AU - Yorston, David
AU - Donachie, Paul H. J.
AU - Laidlaw, D. A.
AU - Steel, David H.
AU - Sparrow, John M.
AU - Aylward, G. W.
AU - Williamson, Tom H.
AU - BEAVRS Retinal Detachment Outcomes Group
AU - Casswell, A. G.
AU - Morris, Andrew H.C.
AU - Jalil, Assad
AU - Babar, Atiq R.
AU - Goldsmith, Craig
AU - Steel, David
AU - Sanchez-Chicharro, Diego
AU - Hughes, Ed
AU - Herbert, E. N.
AU - Jenkins, Huw
AU - Khan, Imran J.
AU - Ellis, John D.
AU - Smith, Jonathan
AU - Balaggan, Kamaljit S.
AU - Cornish, Kurt Spiteri
AU - Wakeley, Laura
AU - Costen, Mark
AU - Tarafdar, Sonali
AU - Charles, Stephen J.
AU - Winder, Stephen
AU - Cochrane, Timothy
AU - Ivanova, Tsveta
AU - Papastavrou, Vasileios T.
AU - Tanner, Vaughan
PY - 2021/5
Y1 - 2021/5
N2 - 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.
AB - 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.
KW - Outcomes research
KW - Retinal diseases
UR - http://www.scopus.com/inward/record.url?scp=85086779254&partnerID=8YFLogxK
U2 - 10.1038/s41433-020-1021-y
DO - 10.1038/s41433-020-1021-y
M3 - Article
C2 - 32581389
AN - SCOPUS:85086779254
SN - 0950-222X
VL - 35
SP - 1431
EP - 1439
JO - Eye
JF - Eye
IS - 5
ER -