Abstract
Objective
To identify risk factors for surgical failure after scleral buckling (SB) for primary
rhegmatogenous retinal detachment (RRD) repair.
Design
Single-centre retrospective consecutive case series.
Participants
All patients who underwent SB for repair of primary RRD at Wills Eye Hospital between
January 1, 2015, and December 31, 2018, were included.
Methods
Single-surgery anatomic success (SSAS) rate and risk factors associated with surgical
failure were evaluated. A multivariable logistic regression model was completed to
assess the effect of demographic, clinical, and operative variables on SSAS rate.
Results
A total of 499 eyes of 499 patients were included. Overall SSAS rate was 86% (n = 430
of 499). Using multivariate analysis, surgical failure was more likely in males (adjusted
odds ratio [adjusted OR] = 2.98; 95% CI, 1.58–5.62; p = 0.0007) with a macula-off status on preoperative examination (adjusted OR = 2.15;
95% CI, 1.10–4.20; p = 0.03) and preoperative proliferative vitreoretinopathy (adjusted OR = 4.26; 95%
CI, 1.10–16.5; p = 0.04). Time interval between initial examination and surgery (p = 0.26), distribution of buckle or band material used (p = 0.88), and distribution of tamponade used (p = 0.74) were not significantly different between eyes with and without surgical failure.
Conclusion
Male sex, macula-off status, and preoperative proliferative vitreoretinopathy were
factors with increased odds of surgical failure after primary SB for RRD repair. Operative
characteristics, such as type of band or use of tamponade, were not associated with
surgical failure.
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Article info
Publication history
Published online: February 16, 2023
Accepted:
January 24,
2023
Received in revised form:
January 5,
2023
Received:
August 24,
2022
Publication stage
In Press Corrected ProofFootnotes
Presented at the Annual Meeting of the Association for Research in Vision and Ophthalmology (ARVO), Denver, CO., May 1–4, 2022; the Annual Meeting of the Retina World Congress, Fort Lauderdale, FL., May 12–15, 2022; and the Annual Meeting of the American Society of Retina Specialists (ASRS), New York, NY, July 13–16, 2022.
Identification
Copyright
© 2023 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
