title: Variations in Functional and Anatomical Outcomes and in Proliferative Vitreoretinopathy Rate along a Prospective Collaborative Study on Primary Rhegmatogenous Retinal Detachments: The Retina 1 Project-Report 4.
abstract: Purpose. To analyse variations in the anatomical and functional outcomes and in proliferative vitreoretinopathy (PVR) rate of a prospective multicentric study that was primarily designed for identification of clinical risk factors for PVR. Methods. 1,046 retinal detachment (RD) cases were analysed. Cases were divided into two series based upon variation in PVR rate determined by logistic regression analysis. Series 1 (S1) included RD treated during 2004-2005 (n = 481) and Series 2 (S2) during 2006-2008 (n = 565). Pre-, intra-, and postoperative characteristics were recorded. Results. There were few differences in the preoperative characteristics. S2 had more vitrectomies and scleral bands and fewer explants and associated cataract extractions than S1. Anatomic reattachment improved from 87.9% to 92.9% in S1 and S2, respectively, (P = 0.006). Visual acuity at 3 months ≥20/40 increased from 36.5% of S1 to 44.2% in S2 (P = 0.049). PVR rate diminished from 14.1% in S1 to 8.1% in S2 (P = 0.002). Centres with higher rates of PVR in S1 showed the greatest reductions in S2. Conclusion. An improvement in anatomical and functional outcome and PVR rate occurred in participating centres cannot be attributed to the learning curve of surgeons. We speculated that it could be an effect of their participation in the study.
authors: Institute of Applied Ophthalmobiology (IOBA), University of Valladolid, 47011 Valladolid, Spain ; Department of Ophthalmology, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain ; Ciber BBN, 50018 Zaragoza, Spain.
authors: J Carlos
authors: JC
authors: Pastor
authors: Institute of Applied Ophthalmobiology (IOBA), University of Valladolid, 47011 Valladolid, Spain ; Ciber BBN, 50018 Zaragoza, Spain.
authors: Itziar
authors: I
authors: Fernández
authors: Institute of Applied Ophthalmobiology (IOBA), University of Valladolid, 47011 Valladolid, Spain.
authors: Rosa M
authors: RM
authors: Coco
authors: Institute of Applied Ophthalmobiology (IOBA), University of Valladolid, 47011 Valladolid, Spain ; Department of Ophthalmology, Complejo Asistencial de Palencia (CAPA), 34005 Palencia, Spain.
authors: María R
authors: MR
authors: Sanabria
authors: Institute of Applied Ophthalmobiology (IOBA), University of Valladolid, 47011 Valladolid, Spain ; Department of Ophthalmology, Hospital Universitario Puerta del Mar, 11009 Cádiz, Spain.
authors: Enrique
authors: E
authors: Rodríguez de la Rúa
authors: Department of Ophthalmology, Hospital General Universitario de Burgos, 09005 Burgos, Spain.
authors: Rosa M
authors: RM
authors: Piñon
authors: Department of Ophthalmology, Hospital Vall d'Hebrón, 08035 Barcelona, Spain.
authors: Vicente
authors: V
authors: Martinez
authors: Institute of Applied Ophthalmobiology (IOBA), University of Valladolid, 47011 Valladolid, Spain ; Department of Ophthalmology, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain.
authors: Anna
authors: A
authors: Sala-Puigdollers
authors: Department of Ophthalmology, Hospital Reina Sofia, 14004 Córdoba, Spain.
authors: José M
authors: JM
authors: Gallardo
authors: Department of Ophthalmology, Hospital San Millán, 26006 Logroño, Spain.
authors: Sara
authors: S
authors: Velilla