1. Sep 09, 2020

Reoperation rates after primary noncomplex retinal detachment surgery varies depending on the patients’ age

Reoperation rates of patients undergoing primary noncomplex retinal detachment surgery varies depending on the patients’ age, according to a study.

In this retrospective, non-randomized cohort study, 24,068 patients who underwent a primary noncomplex retinal detachment repair with a scleral buckle (2,937 patients, 12.2%) or vitrectomy with or without scleral buckle (21,131 patients, 87.8%), were included. Patients had an overall reoperation rate of 12.2% and 11.6%, respectively.

Patients in the vitrectomy with or without scleral buckle group had lower odds of reoperation within 12 months after adjusting for age and initial diagnosis.

Researchers found however, that patients ≤ 50 years old in the vitrectomy with or without scleral buckle group had a higher odds of reoperation compared to those in the scleral buckle only group. Patients > 50 years with vitrectomy with or without scleral buckle group had lower odds of reoperation.

The authors concluded that more studies are need to “determine if there are clinically relevant differences with respect to retinal detachment configuration or other retinal detachment repair types.”

Reference

Rao P, Kaiser R, Lum F, et al. Reoperation rates of patients undergoing primary noncomplex retinal detachment surgery in a cohort of the IRIS Registry. Am J Ophthalmol. 2020; DOI:https://doi.org/10.1016/j.ajo.2020.08.027