The impact of duration on the recurrence of rhegmatogenous retinal detachment: optimal cutoff value
International Ophthalmology, cilt.39, sa.9, ss.2089-2095, 2019 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 39 Sayı: 9
- Basım Tarihi: 2019
- Doi Numarası: 10.1007/s10792-018-1045-5
- Dergi Adı: International Ophthalmology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.2089-2095
- Anahtar Kelimeler: Rhegmatogenous retinal detachment, Recurrent retinal detachment, Prognostic factors, Symptom duration, ROC analysis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Purpose: To assess the impact of symptom duration on the recurrence of rhegmatogenous retinal detachment (RRD) and to determine the threshold symptom duration for recurrence. Patient and methods: In this non-comparative, observational case series, a retrospective evaluation was made of the records of patients with RRD at baseline and during the postoperative follow-up period, in respect of postoperative anatomic outcome, prognostic factors for recurrent retinal detachment and the cutoff value of symptom duration. Results: Recurrent retinal detachment was detected in 33 (17.8%) of 185 patients following primary retinal detachment surgery. The surgery type in phakic patients and preoperative symptom duration had a significantly high odds ratio for evidence of surgical failure. According to the ROC analysis, the threshold preoperative symptom duration was 20.5 days. Conclusion: Our results showed that early reattachment surgery is necessary to lower the risk of retinal redetachment. The threshold at which RRD recurrence significantly increases is 20.5 days.