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Recurrent retinal detachment after pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment

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Abstract

Background

The recurrence of retinal detachment following rhegmatogenous retinal detachment (RRD) is a relatively common complication that can lead to reduced visual acuity and requires further surgery. The purpose of this study was to investigate the risk factors and visual outcomes of recurrent RRD following pars plana vitrectomy (PPV) with silicone oil tamponade for primary RRD.

Methods

This was a retrospective follow-up study of 343 eyes that underwent initial PPV surgery with silicone oil tamponade for primary RRD. Patients were divided into a recurrence group and a reattachment group. The main outcome measures included causative factors, visual outcomes related to the recurrence of RRD, and the perioperative factors most affecting the recurrence of RRD.

Results

After retinal reattachment, we observed RRD recurrence after PPV for primary RRD in 42 out of 343 eyes (12.2%) during the follow-up period. Most causes of recurrence (69%) occurred within 6 months of surgery. Multivariate logistic regression analysis showed that a PVR ≥ Grade C (odds ratio [OR]: 4.015; 95% confidence interval [CI] 1.721–9.367; P = 0.001) was a significant predictor for the development of recurrent RRD. Compared with the reattachment group, the recurrence group exhibited a significant decline in best-corrected visual acuity (BCVA) at the last follow-up visit (P = 0.000). Eyes with PVR prior to primary surgery, or at the diagnosis of re-detachment, showed a worse final BCVA.

Conclusions

Our analysis shows that the predominant risk factor for the recurrence of RRD is a PVR ≥ Grade C. PVR prior to primary surgery, or at the diagnosis of re-detachment, was also shown to limit the recovery of final visual acuity.

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Abbreviations

RRD:

Rhegmatogenous retinal detachment

PVR:

Proliferative vitreoretinopathy

PPV:

Pars plana vitrectomy

BCVA:

Best-corrected visual acuity

IOP:

Intraocular pressure

OCT:

Optical coherence tomography

PVD:

Posterior vitreous detachment

logMAR:

Logarithm of minimal angle of resolution

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Funding

This study was funded by a research grant (Reference Number: 1941ZF047) from the Baoding Science and Technology Support Project, Hebei Province, China.

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Authors and Affiliations

  1. Department of Ophthalmology, Baoding NO. 1 Central Hospital, Baoding, 071000, Hebei Province, China

    Yan Fu, Zhao-Hui Gu, Na Yang, Ren-Fei Geng & Yue-ling Zhang

  2. Affiliated Hospital of Hebei University, Baoding, 071000, Hebei Province, China

    Tian-Hao Xie

Authors
  1. Yan Fu
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  2. Tian-Hao Xie
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  3. Zhao-Hui Gu
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  4. Na Yang
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  5. Ren-Fei Geng
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  6. Yue-ling Zhang
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Corresponding authors

Correspondence to Yan Fu or Zhao-Hui Gu.

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Conflict of interest

No conflicts of interest: All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the (place name of institution and/or national research committee) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Fu, Y., Xie, TH., Gu, ZH. et al. Recurrent retinal detachment after pars plana vitrectomy with silicone oil tamponade for rhegmatogenous retinal detachment. Int Ophthalmol 42, 3813–3820 (2022). https://doi.org/10.1007/s10792-022-02401-7

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  • DOI: https://doi.org/10.1007/s10792-022-02401-7

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