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Journal Scan
Ophthalmology

Time between redetachment and retinectomy in eyes with proliferative vitreoretinopathy impacts outcomes

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Several modifiable factors are associated with good visual acuity (VA) following repair of rhegmatogenous retinal detachments (RD) with proliferative vitreoretinopathy (PVR) undergoing retinectomy, according to a study.

In this interventional, retrospective, case-control study, 345 eyes that underwent retinectomy during repair of RD with PVR, were included. A good VA cohort of 62 eyes with a final VA ≥20/70 (good VA cohort) and a poor VA cohort of age- and gender-matched eyes with VA <20/70 were identified.

There was a mean final logMAR VA of 0.32 [Snellen 20/42] and 1.54 [Snellen 20/693] in the good VA cohort and poor VA cohort, respectively.
The following were significant predictors of good vision:

-Smaller initial RD size
-Fewer surgeries
-Shorter time between recurrent RD diagnosis and subsequent surgeries
-Better pre-operative VA
-Pseudophakia at final visit

Reference
Israilevich RN, Starr MR, Mahmoudzadeh R, et al. Factors Associated with Good Visual Acuity Outcomes After Retinectomy in Eyes with Proliferative Vitreoretinopathy. Am J Ophthalmol. 2022;S0002-9394(22)00096-4. doi: 10.1016/j.ajo.2022.02.028. Epub ahead of print. PMID: 35288070.

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