Evidence map›Paper›PMID 36829144›Full record

Observational studyBMC ophthalmology2023

Postoperative complications after successful primary rhegmatogenous retinal detachment repair.

Lorenzo Motta, Rino Frisina, Matteo Ripa, Irene Gius, Angelo Greggio, Luigi Tozzi, Gabriella De Salvo, Alessandro Meduri

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

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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 7 institutions in 2 countries.

Lorenzo Motta *Department of Ophthalmology, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, UK.
Rino Frisina *Department of Guglielmo da Saliceto Hospital, Ophthalmology Unit of Surgery, Piacenza, Italy.
Matteo RipaOphthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS", Rome, Italy. matteof12@gmail.com.ORCID http://orcid.org/0000-0001-7968-1336
Irene GiusOphthalmology Department, University of Padova, Padova, Italy.
Angelo GreggioOphthalmology Department, University of Padova, Padova, Italy.
Luigi TozziOphthalmology department, San Martino Hospital, Belluno, Italy.
Gabriella De SalvoEye Unit, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Alessandro MeduriDepartment of Biomedical Sciences, Eye Clinic, University of Messina, Messina, Italy.
University of Padua · ITGuglielmo da Saliceto Hospital · ITOspedale Policlinico San Martino · ITUniversità Cattolica del Sacro Cuore · ITUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Messina · ITWilliam Harvey Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the incidence and risk factors for cystoid macular edema (CME) and epiretinal membrane (ERM) development after surgery for primary rhegmatogenous retinal detachment (RRD).

methodsRetrospective observational cohort study involving 62 consecutive patients with primary RRD who underwent RRD repair with either scleral buckling (SB) or pars plana vitrectomy (PPV). SB was used in young phakic patients without posterior vitreous detachment (PVD), high myopic patients, and RRD associated with either anterior or inferior retinal tears. PPV was preferred over SB in pseudophakic patients or those with media opacity and posterior breaks that precluded the SB approach. After surgery, the macular changes, including CME and ERM development, were evaluated 3 and 6 months postoperatively. Phacoemulsification and intraocular lens (IOL) implantation were performed in phakic patients where media opacity or lens bulging did not allow the surgeon to perform surgical maneuvers. The inner limiting membrane (ILM) peeling was randomly performed in the macula-off and the macula-on RRD "pending foveal detachment" subgroup.

resultsSixty-two eyes affected by RRD who underwent SB or PPV were enrolled. CME occurred in 33.3% of the PPV group regardless of the ERM formation. No CME cases were found in the SB group. Macula-off RRD increased the risk of CME by odds ratio (OR) = 4.3 times compared to macula-on RRD regardless of the surgical procedure (p = 0.04). Macula-off status increased the risk of CME of OR = 1.73 times compared to macula-on in the PPV subgroup (p = 0.4). Combined cataract surgery and PPV increased the risk of CME by OR = 3.3 times (p = 0.16) compared to PPV alone, and ILM peeling increased the risk of postoperative CME by OR = 1.8 times (p = 0.37). ERM occurred in 28% of patients who did not undergo ILM peeling, and 29.42% of those who underwent ILM peeling developed ERM (p = 0.6).

conclusionsThe risk of postoperative CME was higher in patients with macula-off than in macula-on RRD and in those with macula-off RRD who underwent PPV. The SB would be advisable in patients with RRD sparing the macula. Furthermore, despite having several advantages, the combined phacoemulsification plus IOL implantation and PPV highly increased the risk of postoperative CME.

Indexed as

Epiretinal MembraneMacular EdemaRetinal DetachmentHumansPostoperative ComplicationsRetrospective StudiesScleral BucklingVisual AcuityVitrectomyCystoid macular edemaEpiretinal membraneInternal limiting membranePars plana vitrectomyRhegmatogenous retinal detachmentScleral buckling

Identifiers

PMID36829144
PMCPMC9960660
OpenAlexW4321783956

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.