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Outcomes of pseudophakic retinal detachment
. Purpose: To provide data on the outcome of pseudophakic retinal detachment (PRD). Methods: In a retrospective case–control study, we identified a consecutive series of 63 298 cataract extractions (45 520 patients) performed in a single institution between 1994 and 2003. We included 249 cases wit...
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| Published in: | Acta ophthalmologica (Oxford, England) England), 2012-11, Vol.90 (7), p.639-644 |
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| creator | Tuft, Stephen J. Gore, Daniel M. Bunce, Catey Sullivan, Paul M. Minassian, Darwin C. |
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Purpose: To provide data on the outcome of pseudophakic retinal detachment (PRD).
Methods: In a retrospective case–control study, we identified a consecutive series of 63 298 cataract extractions (45 520 patients) performed in a single institution between 1994 and 2003. We included 249 cases with PRD and 845 controls that had cataract surgery on the same day as cases but without PRD. Outcome measures were the risk of impaired vision (6/18–6/60) or blindness ( |
| doi_str_mv | 10.1111/j.1755-3768.2011.02124.x |
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Purpose: To provide data on the outcome of pseudophakic retinal detachment (PRD).
Methods: In a retrospective case–control study, we identified a consecutive series of 63 298 cataract extractions (45 520 patients) performed in a single institution between 1994 and 2003. We included 249 cases with PRD and 845 controls that had cataract surgery on the same day as cases but without PRD. Outcome measures were the risk of impaired vision (6/18–6/60) or blindness (<6/60). A multinomial logistic regression model evaluated risk factors for impaired vision or blindness, while multivariable regression models measured the relative risk of poor visual outcome for posterior capsule tear (PCT) and PRD.
Results: Primary pars plana vitrectomy was performed on 207 (84.5%) of the 245 cases treated with surgery, of which 175 (71.4%) needed one procedure. The final acuity was <6/60 in 62 cases (24.9%) and 34 controls (4.0%). After PRD, the relative risk for a final visual outcome <6/60 was 6.8 [95% confidence interval (CI) 4.3–10.6; p < 0.001], and we estimated that the proportion of blindness attributable to PRD was 1.1% (CI 0.7–1.9%). A PCT prior to a PRD was not associated with an increased risk of macular detachment (p = 0.165), but it did carry an increased risk of blindness [odds ratio 4.8 (CI 2.2–10.2; p < 0.001].
Conclusion: Although a PCT has an adverse effect on visual outcome after cataract surgery, a PRD is the foremost surgery‐related risk for a poor visual outcome. Patient education of symptoms and prompt treatment may limit the visual consequences.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/j.1755-3768.2011.02124.x</identifier><identifier>PMID: 21332677</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Blindness - physiopathology ; Case-Control Studies ; cataract ; Cataract Extraction ; Confidence intervals ; Eye surgery ; Female ; Humans ; Male ; Middle Aged ; Ophthalmology ; Patient education ; pseudophakia ; Pseudophakia - etiology ; Pseudophakia - physiopathology ; Pseudophakia - surgery ; retinal detachment ; Retinal Detachment - etiology ; Retinal Detachment - physiopathology ; Retinal Detachment - surgery ; Retrospective Studies ; Risk Factors ; Studies ; Surgery ; Treatment Outcome ; Vision, Low - physiopathology ; Visual Acuity - physiology ; visual outcome ; Vitrectomy</subject><ispartof>Acta ophthalmologica (Oxford, England), 2012-11, Vol.90 (7), p.639-644</ispartof><rights>2011 The Authors. Acta Ophthalmologica © 2011 Acta Ophthalmologica Scandinavica Foundation</rights><rights>2011 The Authors. Acta Ophthalmologica © 2011 Acta Ophthalmologica Scandinavica Foundation.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4354-6d51e09652ac359b900bd965955f50e93429dadfbd70d9f536f9a69c569e2a283</citedby><cites>FETCH-LOGICAL-c4354-6d51e09652ac359b900bd965955f50e93429dadfbd70d9f536f9a69c569e2a283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21332677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tuft, Stephen J.</creatorcontrib><creatorcontrib>Gore, Daniel M.</creatorcontrib><creatorcontrib>Bunce, Catey</creatorcontrib><creatorcontrib>Sullivan, Paul M.</creatorcontrib><creatorcontrib>Minassian, Darwin C.</creatorcontrib><title>Outcomes of pseudophakic retinal detachment</title><title>Acta ophthalmologica (Oxford, England)</title><addtitle>Acta Ophthalmol</addtitle><description>.
Purpose: To provide data on the outcome of pseudophakic retinal detachment (PRD).
Methods: In a retrospective case–control study, we identified a consecutive series of 63 298 cataract extractions (45 520 patients) performed in a single institution between 1994 and 2003. We included 249 cases with PRD and 845 controls that had cataract surgery on the same day as cases but without PRD. Outcome measures were the risk of impaired vision (6/18–6/60) or blindness (<6/60). A multinomial logistic regression model evaluated risk factors for impaired vision or blindness, while multivariable regression models measured the relative risk of poor visual outcome for posterior capsule tear (PCT) and PRD.
Results: Primary pars plana vitrectomy was performed on 207 (84.5%) of the 245 cases treated with surgery, of which 175 (71.4%) needed one procedure. The final acuity was <6/60 in 62 cases (24.9%) and 34 controls (4.0%). After PRD, the relative risk for a final visual outcome <6/60 was 6.8 [95% confidence interval (CI) 4.3–10.6; p < 0.001], and we estimated that the proportion of blindness attributable to PRD was 1.1% (CI 0.7–1.9%). A PCT prior to a PRD was not associated with an increased risk of macular detachment (p = 0.165), but it did carry an increased risk of blindness [odds ratio 4.8 (CI 2.2–10.2; p < 0.001].
Conclusion: Although a PCT has an adverse effect on visual outcome after cataract surgery, a PRD is the foremost surgery‐related risk for a poor visual outcome. Patient education of symptoms and prompt treatment may limit the visual consequences.</description><subject>Aged</subject><subject>Blindness - physiopathology</subject><subject>Case-Control Studies</subject><subject>cataract</subject><subject>Cataract Extraction</subject><subject>Confidence intervals</subject><subject>Eye surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ophthalmology</subject><subject>Patient education</subject><subject>pseudophakia</subject><subject>Pseudophakia - etiology</subject><subject>Pseudophakia - physiopathology</subject><subject>Pseudophakia - surgery</subject><subject>retinal detachment</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Detachment - physiopathology</subject><subject>Retinal Detachment - surgery</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Vision, Low - physiopathology</subject><subject>Visual Acuity - physiology</subject><subject>visual outcome</subject><subject>Vitrectomy</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqNkU1PgzAYxxujcXP6FQyJFxMD9oUWevCwTDdNFpf4fmsKLRkbDKQQt29vkcnBk730afr7PW3_BcBB0EN2XK88FFDqkoCFHoYIeRAj7HvbAzDsNw77mn4MwIkxKwgZYsw_BgOMCMEsCIbgatHUcZFr4xSJUxrdqKJcynUaO5Wu043MHKVrGS9zvalPwVEiM6PP9vMIvE7vXib37nwxe5iM527sE-q7TFGkIWcUy5hQHnEII2WXnNKEQs2Jj7mSKolUABVPKGEJl4zHlHGNJQ7JCFx2fcuq-Gy0qUWemlhnmdzoojEC2bcGlAc-sejFH3RVNJW9dkshSonPQ26psKPiqjCm0okoqzSX1U4g2HJIrESblWhzE22g4idQsbXq-f6AJsq16sXfBC1w0wFfaaZ3_24sxovntrK-2_mpqfW292W1FiywfyfeH2fiiU_D6e0bFZx8A5QWkM4</recordid><startdate>201211</startdate><enddate>201211</enddate><creator>Tuft, Stephen J.</creator><creator>Gore, Daniel M.</creator><creator>Bunce, Catey</creator><creator>Sullivan, Paul M.</creator><creator>Minassian, Darwin C.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>201211</creationdate><title>Outcomes of pseudophakic retinal detachment</title><author>Tuft, Stephen J. ; Gore, Daniel M. ; Bunce, Catey ; Sullivan, Paul M. ; Minassian, Darwin C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4354-6d51e09652ac359b900bd965955f50e93429dadfbd70d9f536f9a69c569e2a283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Blindness - physiopathology</topic><topic>Case-Control Studies</topic><topic>cataract</topic><topic>Cataract Extraction</topic><topic>Confidence intervals</topic><topic>Eye surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ophthalmology</topic><topic>Patient education</topic><topic>pseudophakia</topic><topic>Pseudophakia - etiology</topic><topic>Pseudophakia - physiopathology</topic><topic>Pseudophakia - surgery</topic><topic>retinal detachment</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Detachment - physiopathology</topic><topic>Retinal Detachment - surgery</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Vision, Low - physiopathology</topic><topic>Visual Acuity - physiology</topic><topic>visual outcome</topic><topic>Vitrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tuft, Stephen J.</creatorcontrib><creatorcontrib>Gore, Daniel M.</creatorcontrib><creatorcontrib>Bunce, Catey</creatorcontrib><creatorcontrib>Sullivan, Paul M.</creatorcontrib><creatorcontrib>Minassian, Darwin C.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tuft, Stephen J.</au><au>Gore, Daniel M.</au><au>Bunce, Catey</au><au>Sullivan, Paul M.</au><au>Minassian, Darwin C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of pseudophakic retinal detachment</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><addtitle>Acta Ophthalmol</addtitle><date>2012-11</date><risdate>2012</risdate><volume>90</volume><issue>7</issue><spage>639</spage><epage>644</epage><pages>639-644</pages><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>.
Purpose: To provide data on the outcome of pseudophakic retinal detachment (PRD).
Methods: In a retrospective case–control study, we identified a consecutive series of 63 298 cataract extractions (45 520 patients) performed in a single institution between 1994 and 2003. We included 249 cases with PRD and 845 controls that had cataract surgery on the same day as cases but without PRD. Outcome measures were the risk of impaired vision (6/18–6/60) or blindness (<6/60). A multinomial logistic regression model evaluated risk factors for impaired vision or blindness, while multivariable regression models measured the relative risk of poor visual outcome for posterior capsule tear (PCT) and PRD.
Results: Primary pars plana vitrectomy was performed on 207 (84.5%) of the 245 cases treated with surgery, of which 175 (71.4%) needed one procedure. The final acuity was <6/60 in 62 cases (24.9%) and 34 controls (4.0%). After PRD, the relative risk for a final visual outcome <6/60 was 6.8 [95% confidence interval (CI) 4.3–10.6; p < 0.001], and we estimated that the proportion of blindness attributable to PRD was 1.1% (CI 0.7–1.9%). A PCT prior to a PRD was not associated with an increased risk of macular detachment (p = 0.165), but it did carry an increased risk of blindness [odds ratio 4.8 (CI 2.2–10.2; p < 0.001].
Conclusion: Although a PCT has an adverse effect on visual outcome after cataract surgery, a PRD is the foremost surgery‐related risk for a poor visual outcome. Patient education of symptoms and prompt treatment may limit the visual consequences.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21332677</pmid><doi>10.1111/j.1755-3768.2011.02124.x</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Blindness - physiopathology Case-Control Studies cataract Cataract Extraction Confidence intervals Eye surgery Female Humans Male Middle Aged Ophthalmology Patient education pseudophakia Pseudophakia - etiology Pseudophakia - physiopathology Pseudophakia - surgery retinal detachment Retinal Detachment - etiology Retinal Detachment - physiopathology Retinal Detachment - surgery Retrospective Studies Risk Factors Studies Surgery Treatment Outcome Vision, Low - physiopathology Visual Acuity - physiology visual outcome Vitrectomy |
| title | Outcomes of pseudophakic retinal detachment |
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