title: Outcome of primary rhegmatogenous retinal detachment surgery in a tertiary referral centre in Northern Ireland - A regional study.
abstract: To report the primary and final success, functional outcome and complication rates of patients with primary rhegmatogenous retinal detachment (RRD) who underwent retinal detachment surgery in a tertiary referral centre in Northern Ireland.
  
  
  
  Vitreoretinal service, Royal Victoria Hospital, Belfast, Northern Ireland.
  
  
  
  This is a retrospective case series of all patients who underwent primary RRD repair between 1st of January 2013 and 31st of December 2013. Charts were reviewed. Patients' demographics, overall primary and final success, functional outcome, complication rates were identified and recorded. Subgroup analysis according to lens status and foveal attachment was also performed.
  
  
  
  A total of 212 cases of primary RRD were included. Mean age at time of surgery was 56.6 years (range 9-90 years); 175(82.5%) had pars plana vitrectomy (PPV), 27 (12.5%), scleral buckle (SB) repair and 10 (5%) pneumatic retinopexy (PR). Overall primary and final success rate were 86% and 95.6% respectively. Overall mean visual acuity improved from 1.1 to 0.4 LogMAR postoperatively after a mean follow-up of 9 months. There was no significant difference in the primary success rate in relation to the baseline lens status (χ2= 3.4, P = 0.2) and to the baseline macular status (χ2= 0.6, P = 0.7). Presence of proliferative vitreoretinopathy (PVR) negatively affected the primary success rate (χ2=7.2, P = 0.03). Poor prognostic factors for success were PVR at presentation, inferior breaks and increasing number of detached quadrants.
  
  
  
  This study demonstrates a success rate comparable with other centres with a low rate of final failure. Despite sub-specialism and the great advances in VR surgery, the biology of RRD dictates a failure rate. New therapies may improve results in the future.
authors.affiliation: Vitreo-retinal Service, Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Mikhail
authors.affiliation: Vitreo-retinal Service, Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom.
authors.forename: George
authors.initials: G
authors.lastname: Mangioris
authors.affiliation: Vitreo-retinal Service, Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom; Department of Ophthalmology, Scientific Institute San Raffaele, Milan, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Casalino
authors.affiliation: Vitreo-retinal Service, Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom.
authors.forename: Stuart
authors.initials: S
authors.lastname: McGimpsey
authors.affiliation: Vitreo-retinal Service, Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom.
authors.forename: James
authors.initials: J
authors.lastname: Sharkey
authors.affiliation: Vitreo-retinal Service, Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom.
authors.forename: Richard
authors.initials: R
authors.lastname: Best
authors.affiliation: Vitreo-retinal Service, Department of Ophthalmology, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom.
authors.forename: Wing C
authors.initials: WC
authors.lastname: Chan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009660:Northern Ireland; D011379:Prognosis; D012163:Retinal Detachment / Q000503:physiopathology / Q000601:surgery*; D012591:Scleral Buckling; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D014792:Visual Acuity; D057586:Vitreoretinal Surgery / Q000379:methods; D055815:Young Adult