Impact of Age on Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment
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Purpose: The purpose of this study is to investigate new prognostic factors in associated with primary anatomicalfailure after scleral buckling (SB) for uncomplicated rhegmatogenous retinal detachment (RRD). Methods: The medical records of patients with uncomplicated RRD treated with SB were retrospectively reviewed. Eyes with known prognostic factors for RRD, such as fovea-on, proliferative vitreoretinopathy, pseudophakia,aphakia, multiple breaks, or media opacity, were excluded. Analysis was performed to find correlationsbetween anatomical success and various parameters, including age. Results: This study analyzed 127 eyes. Binary logistic regression analysis revealed that older age (≥35) was thesole independent prognostic factor (odds ratio, 3.5; p = 0.022). Older age was correlated with worse preoperativevisual acuity (p < 0.001), shorter symptom duration (p < 0.001), presence of a large tear (p < 0.001), subretinalfluid drainage (p < 0.001), postoperative macular complications (p = 0.048), and greater visual improvement(p = 0.003). Conclusions: Older age (≥35) was an independent prognostic factor for primary anatomical failure in SB for uncomplicatedRRD. The distinguished features of RRD between older and younger patients suggest that vitreousliquefaction and posterior vitreous detachment are important features associated with variation in surgicaloutcomes.
Abstract
Purpose: The purpose of this study is to investigate new prognostic factors in associated with primary anatomicalfailure after scleral buckling (SB) for uncomplicated rhegmatogenous retinal detachment (RRD). Methods: The medical records of patients with uncomplicated RRD treated with SB were retrospectively reviewed. Eyes with known prognostic factors for RRD, such as fovea-on, proliferative vitreoretinopathy, pseudophakia,aphakia, multiple breaks, or media opacity, were excluded. Analysis was performed to find correlationsbetween anatomical success and various parameters, including age. Results: This study analyzed 127 eyes. Binary logistic regression analysis revealed that older age (≥35) was thesole independent prognostic factor (odds ratio, 3.5; p = 0.022). Older age was correlated with worse preoperativevisual acuity (p < 0.001), shorter symptom duration (p < 0.001), presence of a large tear (p < 0.001), subretinalfluid drainage (p < 0.001), postoperative macular complications (p = 0.048), and greater visual improvement(p = 0.003). Conclusions: Older age (≥35) was an independent prognostic factor for primary anatomical failure in SB for uncomplicatedRRD. The distinguished features of RRD between older and younger patients suggest that vitreousliquefaction and posterior vitreous detachment are important features associated with variation in surgicaloutcomes.
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