Anatomic and functional outcomes of retinectomy for the management of complicated retinal detachment with proliferative vitreoretinopathy

Figures & data

Table 1 Preoperative characteristics

Baseline characteristics (N=51)
Age, median, years (range)	61 (18–87)
Sex
Male	32
Female	19
Etiology
RRD	51
Lens status
Phakic	17
Pseudophakic, aphakic	33, 1
Macula status at time of retinectomy
Number (%)
Macula on	8 (15.6%)
Macula off	43 (84.3%)
Preop BCVA, LogMAR	2.45 (±0.66)
No of previous RRD operations, mean (range)	1.11 (1–3)
Previous vitrectomy	51
Buckle	0
Previous endotamponade used
Gas	16 (31.4%)
Silicone oil	35 (68.6%)
Extend of RRD, clock hours, mean (range)	10 (6–12)
Extend of PVR, clock hours	7.32 (±3.6)
Anterior PVR	51 (100%)
Anterior and posterior	14 (27.5%)
Follow-up, months, minimum (range)	12 (12–48)

Abbreviations: preop BCVA, preoperative best-corrected visual acuity; PVR, proliferative vitreoretinopathy; RRD, rhegmatogenous retinal detachment.

Figure 1 Box plot chart of preoperative and final postoperative LogMAR BCVA.

Abbreviation: BCVA, best-corrected visual acuity.

Table 2 Final outcomes

Final results (postoperative, final FU)
Primary complete retinal attachment	41/51 (80%)
Final complete retinal attachment	43/51 (84%)
Final macular attachment	49/51 (96%)
Silicone oil removal	33/51 (65%)
With chronic oil	18/51 (35%)
Final visual acuity, median (LogMAR)	1.37±0.75 (1.3)
Visual acuity with retained SO	1.52±0.7
Visual acuity after removal of SO	0.9±0.7
Non-progressive inferior RD (not requiring surgery)	6/51 (12%)
Retinal macular re-detachment	4/51 (8%)
Retinectomy number
1	47
>1	4
Postoperative IOP
0–5 mmHg	1/51 (2%)
6–10 mmHg	9/51 (18%)
11–21 mmHg	41/51 (81%)
Postoperative glaucoma	2/51 (3.9%)

Abbreviations: FU, follow-up; IOP, intraocular pressure; RD, retinal detachment; SO, silicone oil.

Figure 2 Retinal anatomic status following the first retinal re-attachment surgery with retinectomy.

Table 3 Preoperative and intraoperative factors significantly associated with better final best-corrected visual acuity

Correlation between final BCVA and pre and intraoperative parameters*
Preoperative BCVA	P<0.001
Extension of PVR	P=0.013
Use of gas as endotamponade during primary retinal detachment repair	P=0.01
Removal of silicone oil	P=0.003

Notes:

* Spearman rank correlation test. Statistical significance for P<0.05.

Abbreviations: BCVA, best-corrected visual acuity; PVR, proliferative vitreoretinopathy.