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Predictors of Vision Loss after Surgery for Macula-Sparing Rhegmatogenous Retinal Detachment
To determine factors associated with loss of good vision (defined as Snellen visual acuity [VA]
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| Published in: | Current eye research 2022-08, Vol.47 (8), p.1209-1217 |
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| cites | cdi_FETCH-LOGICAL-c366t-62762f4859611139c1fbe611e3298f50a69ae1431b88221a8468fe5c3343a74d3 |
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| container_title | Current eye research |
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| creator | Gopal, Anand Starr, Matthew Obeid, Anthony Ryan, Ed Ryan, Claire Ammar, Michael Patel, Luv Forbes, Nora Capone, Antonio Emerson, Geoff Joseph, Daniel Eliott, Dean Regillo, Carl Hsu, Jason Gupta, Omesh Kuriyan, Ajay Yonekawa, Yoshihiro |
| description | To determine factors associated with loss of good vision (defined as Snellen visual acuity [VA] |
| doi_str_mv | 10.1080/02713683.2022.2081980 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_35608082</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2668910260</sourcerecordid><originalsourceid>FETCH-LOGICAL-c366t-62762f4859611139c1fbe611e3298f50a69ae1431b88221a8468fe5c3343a74d3</originalsourceid><addsrcrecordid>eNp9kEtPGzEQgK2qqKTQn9DKx14W_Nh1vLdWFFqkIBCvE5I1ccbB1e46tb1C-ff1KoEjF481-ub1EfKVsxPONDtlYs6l0vJEMCHKo3mr2Qcy47VilSjJj2Q2MdUEHZLPKf1lbErUn8ihbFTpocWMPN1EXHmbQ0w0OProkw8DXYSUKLiMkd6NcY1xS12I9Ars2EF1t4HohzW9fcZ1DzmscQhjoreY_QAd_YUZ7HOPQz4mBw66hF_28Yg8XJzfn_2pFte_L89-LiorlcqVEnMlXK2bVnHOZWu5W2L5ohStdg0D1QLyWvKl1kJw0LXSDhsrZS1hXq_kEfm-67uJ4d-IKZveJ4tdBwOWzYxQSrecCcUK2uxQG8uNEZ3ZRN9D3BrOzCTWvIo1k1izF1vqvu1HjMseV29VryYL8GMH-KGo6uElxG5lMmy7EF2Ewfpk5Psz_gPzQ4Z1</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2668910260</pqid></control><display><type>article</type><title>Predictors of Vision Loss after Surgery for Macula-Sparing Rhegmatogenous Retinal Detachment</title><source>Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)</source><creator>Gopal, Anand ; Starr, Matthew ; Obeid, Anthony ; Ryan, Ed ; Ryan, Claire ; Ammar, Michael ; Patel, Luv ; Forbes, Nora ; Capone, Antonio ; Emerson, Geoff ; Joseph, Daniel ; Eliott, Dean ; Regillo, Carl ; Hsu, Jason ; Gupta, Omesh ; Kuriyan, Ajay ; Yonekawa, Yoshihiro</creator><creatorcontrib>Gopal, Anand ; Starr, Matthew ; Obeid, Anthony ; Ryan, Ed ; Ryan, Claire ; Ammar, Michael ; Patel, Luv ; Forbes, Nora ; Capone, Antonio ; Emerson, Geoff ; Joseph, Daniel ; Eliott, Dean ; Regillo, Carl ; Hsu, Jason ; Gupta, Omesh ; Kuriyan, Ajay ; Yonekawa, Yoshihiro ; Primary Retinal Detachment Outcomes (PRO) Study Group</creatorcontrib><description>To determine factors associated with loss of good vision (defined as Snellen visual acuity [VA] < 20/40) after surgery among eyes presenting with macula-on primary rhegmatogenous retinal detachment (RRD) with initial VA ≥20/40.
Multicenter, retrospective, cohort study of eyes undergoing scleral buckle (SB), pars plana vitrectomy (PPV), or combined pars plana vitrectomy/scleral buckle (PPV/SB) for non-complex macula-on RRD with initial VA ≥20/40.
Among 646 eyes with macula-on RRDs with initial VA ≥20/40, 106 (16.4%) had VA <20/40 (i.e. lost good vision) at final follow-up. Eyes losing good vision had slightly worse pre-operative logMAR VA (mean 0.15 ± 0.10 [20/28]) compared to eyes that preserved good vision (mean 0.11 ± 0.10 [20/26]) (p = 0.004). RRDs extending greater than 6 clock-hours were more likely to lose good vision than smaller detachments (multivariate OR 4.57 [95% CI 1.44-14.51]; p = 0.0099). Compared to eyes repaired with SB alone, eyes undergoing PPV (multivariate OR 7.22 [95% CI 2.10-24.90]; p = 0.0017) or PPV/SB (multivariate OR 10.74 [95% CI 3.20-36.11]; p = 0.0001) were each more likely to lose good vision. Eyes requiring further RRD-related (multivariate OR 8.64 [95% CI 1.47-50.66]; p < 0.017) and non-RRD related vitreoretinal surgery (multivariate OR 14.35 [95% CI 5.39-38.21]; p < 0.0001) were more likely to lose good vision.
Among macula-on RRDs, loss of good vision was associated with worse vision on presentation, vitrectomy-based procedures, greater extent of detachment, and lack of single surgery success. Understanding predictors of visual outcome in macula-on RRD repair may guide pre-operative counseling regarding visual prognosis.</description><identifier>ISSN: 0271-3683</identifier><identifier>EISSN: 1460-2202</identifier><identifier>DOI: 10.1080/02713683.2022.2081980</identifier><identifier>PMID: 35608082</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>macula-on ; Retinal detachment ; rhegmatogenous ; vision loss ; vitreoretinal surgery</subject><ispartof>Current eye research, 2022-08, Vol.47 (8), p.1209-1217</ispartof><rights>2022 Taylor & Francis Group, LLC 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-62762f4859611139c1fbe611e3298f50a69ae1431b88221a8468fe5c3343a74d3</citedby><cites>FETCH-LOGICAL-c366t-62762f4859611139c1fbe611e3298f50a69ae1431b88221a8468fe5c3343a74d3</cites><orcidid>0000-0002-3021-5630 ; 0000-0002-5386-5396</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35608082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gopal, Anand</creatorcontrib><creatorcontrib>Starr, Matthew</creatorcontrib><creatorcontrib>Obeid, Anthony</creatorcontrib><creatorcontrib>Ryan, Ed</creatorcontrib><creatorcontrib>Ryan, Claire</creatorcontrib><creatorcontrib>Ammar, Michael</creatorcontrib><creatorcontrib>Patel, Luv</creatorcontrib><creatorcontrib>Forbes, Nora</creatorcontrib><creatorcontrib>Capone, Antonio</creatorcontrib><creatorcontrib>Emerson, Geoff</creatorcontrib><creatorcontrib>Joseph, Daniel</creatorcontrib><creatorcontrib>Eliott, Dean</creatorcontrib><creatorcontrib>Regillo, Carl</creatorcontrib><creatorcontrib>Hsu, Jason</creatorcontrib><creatorcontrib>Gupta, Omesh</creatorcontrib><creatorcontrib>Kuriyan, Ajay</creatorcontrib><creatorcontrib>Yonekawa, Yoshihiro</creatorcontrib><creatorcontrib>Primary Retinal Detachment Outcomes (PRO) Study Group</creatorcontrib><title>Predictors of Vision Loss after Surgery for Macula-Sparing Rhegmatogenous Retinal Detachment</title><title>Current eye research</title><addtitle>Curr Eye Res</addtitle><description>To determine factors associated with loss of good vision (defined as Snellen visual acuity [VA] < 20/40) after surgery among eyes presenting with macula-on primary rhegmatogenous retinal detachment (RRD) with initial VA ≥20/40.
Multicenter, retrospective, cohort study of eyes undergoing scleral buckle (SB), pars plana vitrectomy (PPV), or combined pars plana vitrectomy/scleral buckle (PPV/SB) for non-complex macula-on RRD with initial VA ≥20/40.
Among 646 eyes with macula-on RRDs with initial VA ≥20/40, 106 (16.4%) had VA <20/40 (i.e. lost good vision) at final follow-up. Eyes losing good vision had slightly worse pre-operative logMAR VA (mean 0.15 ± 0.10 [20/28]) compared to eyes that preserved good vision (mean 0.11 ± 0.10 [20/26]) (p = 0.004). RRDs extending greater than 6 clock-hours were more likely to lose good vision than smaller detachments (multivariate OR 4.57 [95% CI 1.44-14.51]; p = 0.0099). Compared to eyes repaired with SB alone, eyes undergoing PPV (multivariate OR 7.22 [95% CI 2.10-24.90]; p = 0.0017) or PPV/SB (multivariate OR 10.74 [95% CI 3.20-36.11]; p = 0.0001) were each more likely to lose good vision. Eyes requiring further RRD-related (multivariate OR 8.64 [95% CI 1.47-50.66]; p < 0.017) and non-RRD related vitreoretinal surgery (multivariate OR 14.35 [95% CI 5.39-38.21]; p < 0.0001) were more likely to lose good vision.
Among macula-on RRDs, loss of good vision was associated with worse vision on presentation, vitrectomy-based procedures, greater extent of detachment, and lack of single surgery success. Understanding predictors of visual outcome in macula-on RRD repair may guide pre-operative counseling regarding visual prognosis.</description><subject>macula-on</subject><subject>Retinal detachment</subject><subject>rhegmatogenous</subject><subject>vision loss</subject><subject>vitreoretinal surgery</subject><issn>0271-3683</issn><issn>1460-2202</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPGzEQgK2qqKTQn9DKx14W_Nh1vLdWFFqkIBCvE5I1ccbB1e46tb1C-ff1KoEjF481-ub1EfKVsxPONDtlYs6l0vJEMCHKo3mr2Qcy47VilSjJj2Q2MdUEHZLPKf1lbErUn8ihbFTpocWMPN1EXHmbQ0w0OProkw8DXYSUKLiMkd6NcY1xS12I9Ars2EF1t4HohzW9fcZ1DzmscQhjoreY_QAd_YUZ7HOPQz4mBw66hF_28Yg8XJzfn_2pFte_L89-LiorlcqVEnMlXK2bVnHOZWu5W2L5ohStdg0D1QLyWvKl1kJw0LXSDhsrZS1hXq_kEfm-67uJ4d-IKZveJ4tdBwOWzYxQSrecCcUK2uxQG8uNEZ3ZRN9D3BrOzCTWvIo1k1izF1vqvu1HjMseV29VryYL8GMH-KGo6uElxG5lMmy7EF2Ewfpk5Psz_gPzQ4Z1</recordid><startdate>20220803</startdate><enddate>20220803</enddate><creator>Gopal, Anand</creator><creator>Starr, Matthew</creator><creator>Obeid, Anthony</creator><creator>Ryan, Ed</creator><creator>Ryan, Claire</creator><creator>Ammar, Michael</creator><creator>Patel, Luv</creator><creator>Forbes, Nora</creator><creator>Capone, Antonio</creator><creator>Emerson, Geoff</creator><creator>Joseph, Daniel</creator><creator>Eliott, Dean</creator><creator>Regillo, Carl</creator><creator>Hsu, Jason</creator><creator>Gupta, Omesh</creator><creator>Kuriyan, Ajay</creator><creator>Yonekawa, Yoshihiro</creator><general>Taylor & Francis</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3021-5630</orcidid><orcidid>https://orcid.org/0000-0002-5386-5396</orcidid></search><sort><creationdate>20220803</creationdate><title>Predictors of Vision Loss after Surgery for Macula-Sparing Rhegmatogenous Retinal Detachment</title><author>Gopal, Anand ; Starr, Matthew ; Obeid, Anthony ; Ryan, Ed ; Ryan, Claire ; Ammar, Michael ; Patel, Luv ; Forbes, Nora ; Capone, Antonio ; Emerson, Geoff ; Joseph, Daniel ; Eliott, Dean ; Regillo, Carl ; Hsu, Jason ; Gupta, Omesh ; Kuriyan, Ajay ; Yonekawa, Yoshihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-62762f4859611139c1fbe611e3298f50a69ae1431b88221a8468fe5c3343a74d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>macula-on</topic><topic>Retinal detachment</topic><topic>rhegmatogenous</topic><topic>vision loss</topic><topic>vitreoretinal surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gopal, Anand</creatorcontrib><creatorcontrib>Starr, Matthew</creatorcontrib><creatorcontrib>Obeid, Anthony</creatorcontrib><creatorcontrib>Ryan, Ed</creatorcontrib><creatorcontrib>Ryan, Claire</creatorcontrib><creatorcontrib>Ammar, Michael</creatorcontrib><creatorcontrib>Patel, Luv</creatorcontrib><creatorcontrib>Forbes, Nora</creatorcontrib><creatorcontrib>Capone, Antonio</creatorcontrib><creatorcontrib>Emerson, Geoff</creatorcontrib><creatorcontrib>Joseph, Daniel</creatorcontrib><creatorcontrib>Eliott, Dean</creatorcontrib><creatorcontrib>Regillo, Carl</creatorcontrib><creatorcontrib>Hsu, Jason</creatorcontrib><creatorcontrib>Gupta, Omesh</creatorcontrib><creatorcontrib>Kuriyan, Ajay</creatorcontrib><creatorcontrib>Yonekawa, Yoshihiro</creatorcontrib><creatorcontrib>Primary Retinal Detachment Outcomes (PRO) Study Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Current eye research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gopal, Anand</au><au>Starr, Matthew</au><au>Obeid, Anthony</au><au>Ryan, Ed</au><au>Ryan, Claire</au><au>Ammar, Michael</au><au>Patel, Luv</au><au>Forbes, Nora</au><au>Capone, Antonio</au><au>Emerson, Geoff</au><au>Joseph, Daniel</au><au>Eliott, Dean</au><au>Regillo, Carl</au><au>Hsu, Jason</au><au>Gupta, Omesh</au><au>Kuriyan, Ajay</au><au>Yonekawa, Yoshihiro</au><aucorp>Primary Retinal Detachment Outcomes (PRO) Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Vision Loss after Surgery for Macula-Sparing Rhegmatogenous Retinal Detachment</atitle><jtitle>Current eye research</jtitle><addtitle>Curr Eye Res</addtitle><date>2022-08-03</date><risdate>2022</risdate><volume>47</volume><issue>8</issue><spage>1209</spage><epage>1217</epage><pages>1209-1217</pages><issn>0271-3683</issn><eissn>1460-2202</eissn><abstract>To determine factors associated with loss of good vision (defined as Snellen visual acuity [VA] < 20/40) after surgery among eyes presenting with macula-on primary rhegmatogenous retinal detachment (RRD) with initial VA ≥20/40.
Multicenter, retrospective, cohort study of eyes undergoing scleral buckle (SB), pars plana vitrectomy (PPV), or combined pars plana vitrectomy/scleral buckle (PPV/SB) for non-complex macula-on RRD with initial VA ≥20/40.
Among 646 eyes with macula-on RRDs with initial VA ≥20/40, 106 (16.4%) had VA <20/40 (i.e. lost good vision) at final follow-up. Eyes losing good vision had slightly worse pre-operative logMAR VA (mean 0.15 ± 0.10 [20/28]) compared to eyes that preserved good vision (mean 0.11 ± 0.10 [20/26]) (p = 0.004). RRDs extending greater than 6 clock-hours were more likely to lose good vision than smaller detachments (multivariate OR 4.57 [95% CI 1.44-14.51]; p = 0.0099). Compared to eyes repaired with SB alone, eyes undergoing PPV (multivariate OR 7.22 [95% CI 2.10-24.90]; p = 0.0017) or PPV/SB (multivariate OR 10.74 [95% CI 3.20-36.11]; p = 0.0001) were each more likely to lose good vision. Eyes requiring further RRD-related (multivariate OR 8.64 [95% CI 1.47-50.66]; p < 0.017) and non-RRD related vitreoretinal surgery (multivariate OR 14.35 [95% CI 5.39-38.21]; p < 0.0001) were more likely to lose good vision.
Among macula-on RRDs, loss of good vision was associated with worse vision on presentation, vitrectomy-based procedures, greater extent of detachment, and lack of single surgery success. Understanding predictors of visual outcome in macula-on RRD repair may guide pre-operative counseling regarding visual prognosis.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>35608082</pmid><doi>10.1080/02713683.2022.2081980</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3021-5630</orcidid><orcidid>https://orcid.org/0000-0002-5386-5396</orcidid></addata></record> |
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| language | eng |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| subjects | macula-on Retinal detachment rhegmatogenous vision loss vitreoretinal surgery |
| title | Predictors of Vision Loss after Surgery for Macula-Sparing Rhegmatogenous Retinal Detachment |
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