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
- Pastor, J. Carlos 127
- Fernández, Itziar 17
- Coco, Rosa M. 1
- Sanabria, María R. 14
- Rodríguez de la Rúa, Enrique 18
- Piñon, Rosa M. 9
- Martinez, Vicente 3
- Sala-Puigdollers, Anna 12
- Gallardo, José M. 6
- Velilla, Sara 5
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1
Instituto de Oftalmología Aplicada de Valladolid
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Instituto de Oftalmología Aplicada de Valladolid
Valladolid, España
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2
Hospital Universitario de Valladolid
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3
Hospital Vall d'Hebron
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4
Complejo Asistencial Universitario de Palencia
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5
Hospital San Pedro
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6
Hospital Universitario Reina Sofia
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- 7 Ciber BBN, 50018 Zaragoza, Spain
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Hospital Universitario Puerta del Mar
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9
Complejo Asistencial Universitario de Burgos
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ISSN: 2090-5696
Datum der Publikation: 2012
Ausgabe: 2012
Seiten: 1-7
Art: Artikel
Andere Publikationen in: ISRN Ophthalmology
Zusammenfassung
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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