Rhegmatogenous retinal detachments: Primary reattachment rates in a specialist centre in Dublin over a four year period

Session Details

Session Title: Free Paper Session 5: Anterior/Posterior Segment Surgery

Session Date/Time: Thursday 07/09/2017 | 11:00-12:30

Paper Time: 12:12

Venue: Room 117

First Author: : P.Murtagh IRELAND

Co Author(s): :    S. Kirk   R. Maedbh   C. Paul   K. David                    

Abstract Details

Purpose:

To describe rhegmatogenous retinal detachment surgery in a Dublin specialist centre including primary reattachment rates, compliactions, type of procedure and tamponade, age and sex of patient, type of detachment, anesthesia used and visual outcomes three months post op.

Setting:

Department of Ophthalmology, Mater Misericordiae University Hospital

Methods:

A retrospective audit was conducted over a 4 year period of all presenting primary rhegmatogenous retina detachments to a tertiary referral retina centre. Approximately 300 to 400 vitreoretinal cases are performed in the hospital on a yearly basis of which approximately 100-150 are primary rhegmatogenous retinal detachment repairs. Data was extracted from the surgical logbook in theatre and then the appropriate medical flies were pulled and the relevant information obtained from each.

Results:

Over the four year period 1,393 vitroretinal cases were performed of which 491 were primary retinal detachment repairs. The right eye was the most commonly involved eye with an incidence of 56.01%. There was a male: female ratio of 243:248 (49.49%:50.51%). 242 (49.29%) operations were for macula off detachments The age ranged from 16 to 89 years with a mean age of 54.66+/- 15.29 years. PPV was the most commonly performed surgical procedure, with 265 cases out the total 491 (53.97%). PPV-SB consisted of 125 (25.46%) cases and SB with the remaining 101 (20.57%) surgeries. 291 (59.27%) of the procedures were performed under general anaesthetic and 200 (40.73%) were performed under local anaesthetic. A primary success rate of 89.2 % was recorded across all procedures with 53 patients re-detaching in the 3 month postoperative period. Criteria for success was defined as an improvement in VA of 0.3 logMAR units or a final visual acuity of greater than or equal to 0.3 logMAR. 71.81% of eyes achieved visual success

Conclusions:

This study hopes to help benchmark our primary reattachment rates, intraoperative complication rate and surgical technique with international standards including the BEAVRS criteria and to demonstrate again that the benefits of RD surgery greatly out weight the risks.

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