Abstract
Objective
To evaluate the effect of socioeconomic and demographic factors on outcomes in rhegmatogenous
retinal detachments (RRDs).
Design
Retrospective cohort study.
Methods
A total of 71 white and 124 black and/or Hispanic patients who had surgical repair
of RRDs between October 2013 and September 2021 at a single-centre safety net hospital.
Main outcomes were single surgery success rates (SSSR) and postoperative visual acuity
at 6-month and final follow-up.
Results
Black and (or) Hispanic patients were significantly younger (black and [or] Hispanic,
50.7 years vs white, 57.6 years; p = 0.003), had lower mean household incomes (black and [or] Hispanic, $80,932 vs white,
$92,911; p = 0.007), were more likely to have more than 1 retinal break (black and [or] Hispanic,
65% vs white, 49%; p = 0.04), and had higher rates of proliferative vitreoretinopathy (PVR) at presentation
(black and [or] Hispanic, 35% vs white, 18%; p = 0.02). SSSR was similar (black and [or] Hispanic, 73.4% vs white, 73.2%; p = 0.98), but black and (or) Hispanic patients had worse visual acuity postoperatively
(black and [or] Hispanic, 20/63 vs white, 20/40 at final follow-up; p = 0.03). While race was linked to visual outcome in univariate testing; multivariate
analysis revealed only macula status (p = 0.007 at 6 months; p = 0.01 at final follow-up), presence of PVR (p < 0.001 at both time points), and SSSR (p = 0.003 at final follow-up) as predictors of worse visual outcomes.
Conclusions
Preoperative factors such as higher rates of PVR may contribute to worse vision outcomes
in black and (or) Hispanic patients undergoing surgical repair for RRD.
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Article info
Publication history
Published online: January 04, 2023
Accepted:
December 13,
2022
Received in revised form:
November 11,
2022
Received:
August 5,
2022
Publication stage
In Press Corrected ProofFootnotes
Presented at the 2022 Annual Meeting Poster Session of the Association for Research in Vision and Ophthalmology, Denver, CO, May 1–4, 2022, and the 2022 Resident and Fellow Poster Session of the New England Ophthalmologic Society, Cape Neddick, ME, September 30–October 2, 2022.
Identification
Copyright
© 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
