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

  1. Pastor, J. Carlos 127
  2. Fernández, Itziar 17
  3. Coco, Rosa M. 1
  4. Sanabria, María R. 14
  5. Rodríguez de la Rúa, Enrique 18
  6. Piñon, Rosa M. 9
  7. Martinez, Vicente 3
  8. Sala-Puigdollers, Anna 12
  9. Gallardo, José M. 6
  10. Velilla, Sara 5
  1. 1 Instituto de Oftalmología Aplicada de Valladolid
    info

    Instituto de Oftalmología Aplicada de Valladolid

    Valladolid, España

  2. 2 Hospital Universitario de Valladolid
    info

    Hospital Universitario de Valladolid

    Valladolid, España

    ROR https://ror.org/04fffmj41

  3. 3 Hospital Vall d'Hebron
    info

    Hospital Vall d'Hebron

    Barcelona, España

    ROR https://ror.org/03ba28x55

  4. 4 Complejo Asistencial Universitario de Palencia
    info

    Complejo Asistencial Universitario de Palencia

    Palencia, España

    ROR https://ror.org/02atpex25

  5. 5 Hospital San Pedro
    info

    Hospital San Pedro

    Logroño, España

    ROR https://ror.org/031va0421

  6. 6 Hospital Universitario Reina Sofia
    info

    Hospital Universitario Reina Sofia

    Córdoba, España

    ROR https://ror.org/02vtd2q19

  7. 7 Ciber BBN, 50018 Zaragoza, Spain
  8. 8 Hospital Universitario Puerta del Mar
    info

    Hospital Universitario Puerta del Mar

    Cádiz, España

    ROR https://ror.org/040xzg562

  9. 9 Complejo Asistencial Universitario de Burgos
    info

    Complejo Asistencial Universitario de Burgos

    Burgos, España

    ROR https://ror.org/01j5v0d02

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Revista:
ISRN Ophthalmology

ISSN: 2090-5696

Año de publicación: 2012

Volumen: 2012

Páginas: 1-7

Tipo: Artículo

DOI: 10.5402/2012/206385 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: ISRN Ophthalmology

Resumen

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 () and Series 2 (S2) during 2006–2008 (). 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, (). Visual acuity at 3 months ≥20/40 increased from 36.5% of S1 to 44.2% in S2 (). PVR rate diminished from 14.1% in S1 to 8.1% in S2 (). 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.

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