Evidence map›Paper›PMID 36814290›Full record

ArticleInternational journal of retina and vitreous2023

Outcomes and complications of primary rhegmatogenous retinal detachment repair with pars plana vitrectomy in young adults.

Venkatkrish M Kasetty, Jennifer Aye, Nish Patel, Nitika Tripathi, Thomas Hessburg, Nitin Kumar, Uday R Desai, Abdualrahman E Hamad

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of retina and vitreous, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Proliferative Vitreoretinopathy: A Reappraisal.Journal of clinical medicine · 2023
    Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Venkatkrish M KasettyDepartment of Ophthalmology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA. vkasett1@hfhs.org.ORCID http://orcid.org/0000-0002-6473-3495
Jennifer AyeDepartment of Ophthalmology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.
Nish PatelDepartment of Ophthalmology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.
Nitika TripathiDepartment of Otolaryngology, Georgetown University, Washington, DC, USA.
Thomas HessburgDepartment of Ophthalmology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.
Nitin KumarDepartment of Ophthalmology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.
Uday R DesaiDepartment of Ophthalmology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.
Abdualrahman E HamadDepartment of Ophthalmology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.
Henry Ford Health System · USGeorgetown University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScleral buckling has been the standard for rhegmatogenous retinal detachment repair in young patients given the typical lack of posterior vitreous detachment, phakic status, and lower risk of proliferative vitreoretinopathy. In older patients, pars plana vitrectomy alone is typically used for rhegmatogenous retinal detachment repair. We report the outcomes and complications of pars plana vitrectomy for rhegmatogenous retinal detachment in young eyes.

methodsRetrospective, single-center cohort study. Medical records of patients between 15 to 45 years of age undergoing primary pars plana vitrectomy for rhegmatogenous retinal detachment repair between 2010 and 2020 were carefully reviewed. All analyses were performed using the Kruskal-Wallis tests for numeric covariates between age groups.

resultsEyes were stratified by age: 15-24 (group 1, n = 10), 25-34 (group 2, n = 14), and 35-45 (group 3, n = 38). The average number of surgeries were 1.9, 1.4, and 1.1 in groups 1, 2, and 3, respectively (p = 0.004). Single surgery success rates were 50%, 64%, and 92% in groups 1, 2 and 3, respectively (p = 0.005). Final reattachment rates were 80%, 93%, 100% in groups 1, 2, and 3, respectively (p = 0.568). Proliferative vitreoretinopathy developed in 50%, 7%, and 8% of eyes in groups 1, 2, and 3, respectively (p < 0.001).

conclusionWhile the final reattachment rates were excellent in all groups, the higher rates of proliferative vitreoretinopathy and lower single surgery success rate in younger patients may suggest that primary pars plana vitrectomy may not be the optimal repair method in these age groups.

Indexed as

Pars plana vitrectomyProliferative vitreoretinopathyRetinal reattachmentRhegmatogenous retinal detachment

Identifiers

PMID36814290
PMCPMC9948360
OpenAlexW4321501205

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.