The Outcomes of Recurrent Retinal Detachment Surgery and the Effects of the First Surgeon to the Final Outcomes

Abstract

INTRODUCTION[|]To evaluate the outcomes of vitreoretinal surgery in patients with recurrent retinal detachment (RD) and compare whether these outcomes differ regarding the surgeon who carried out the first surgery.[¤]METHODS[|]The medical records of the recurrent RD patients who underwent vitrectomy between January 2014 and December 2016 were reviewed for this retrospective single-surgeon study. The included patients had a postoperative follow-up period of at least 12 months. If the first surgery was carried out by the same surgeon, then the patients were included in group A, and if the patient was a referral patient and the first surgery was carried out by another surgeon, then the patient was included in group B. Primary outcome measure was the anatomical success at month 12.[¤]RESULTS[|]There were 12 eyes (20.7%) in group A and 46 eyes (79.3%) in group B. The anatomical success after a single secondary operation was 67.2% in the whole group. It was 75.0% and 65.2% in groups A and B, respectively (p=0.4). Final anatomical success after multiple surgeries was achieved in 46 of the 58 patients (77.6%) in the whole group. The final anatomical success was 91.7% and 73.9% in group A and B, respectively (p=0.1).[¤]DISCUSSION AND CONCLUSION[|]In conclusion, we detected a positive trend in anatomical outcomes after vitrectomy surgery in the subgroup recurrent RD patients that were operated by the same surgeon who carried out the first operation.[¤]

Keywords

• proliferative vitreoretinopathy
• retinal detachment; vitrectomy.