Trends in primary retinal detachment surgery: results of a Bicenter study.
OBJECTIVE
To assess trends and outcomes in retinal detachment (RD) surgery based on a retrospective, interventional, bicenter study.


METHODS
Baseline demographic data, surgical procedures, and outcomes from 230 patients with a diagnosis of primary rhegmatogenous RD, who underwent surgery between January 2007 and December 2008 at the Rudolf Foundation Clinic, Vienna (Center 1) and the Weill Cornell Medical College, New York, (Center 2) were analyzed using a regression model.


RESULTS
Besides the baseline parameters, lens status (P = 0.01), refraction (P = 0.01), retinal tears (P < 0.02), proliferative vitreoretinopathy (P = 0.02), and previous treatment (P < 0.02), the primary RD procedure (P < 0.0001) was significantly different between the 2 centers. In Center 1, scleral buckling was the most common primary RD procedure (66.19%) compared with vitrectomy (82.42%) in Center 2. Primary retinal reattachment (88.49% Center 1 vs. 84.62% Center 2, P = 0.43) and best-corrected visual acuity at the final follow-up (best-corrected visual acuity ≥ 0.3 logarithm of minimum angle of resolution 48.92% Center 1 vs. 47.25% Center 2, P = 0.78) were not significantly different between the 2 centers.


CONCLUSIONS
Although there is a trend toward primary vitrectomy, scleral buckling was preferred in the center in Vienna and primary vitrectomy in the center in New York. Despite the different primary RD procedures, anatomical and visual outcomes were comparable.
Ludwig Boltzmann Institute of Retinology and Biomicroscopic Laser Surgery, Department of Ophthalmology, Rudolf Foundation Clinic, Vienna, Austria. christiane.falkner-radler@wienkav.at
Christiane I
CI
Falkner-Radler
Jane S
JS
Myung
Sarah
S
Moussa
R V Paul
RV
Chan
Eva
E
Smretschnig
Szilard
S
Kiss
Alexandra
A
Graf
Donald J
DJ
D'amico
Susanne
S
Binder
D000368:Aged; D017679:Cryotherapy / Q000639:trends; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012029:Refraction, Ocular / Q000502:physiology; D012086:Reoperation; D012163:Retinal Detachment / Q000503:physiopathology / Q000601:surgery*; D012167:Retinal Perforations / Q000503:physiopathology; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000639:trends*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000639:trends*; D018630:Vitreoretinopathy, Proliferative / Q000503:physiopathology