J Korean Ophthalmol Soc > Volume 58(12); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(12):1388-1395.
DOI: https://doi.org/10.3341/jkos.2017.58.12.1388    Published online December 15, 2017.
Comparison of the Recurrence of RRD in PPV Combined Cataract Surgery with PPV Alone, and Risk Factors in PPV Combined Cataract Surgery.
Hye In Park, Myung Hun Yoon, Hee Seung Chin
Department of Ophthalmology, Inha University Hospital, Inha University School of Medicine, Incheon, Korea. hschin@inha.ac.kr
열공망막박리 유리체절제술 시 백내장수술 동시 시행 여부에 따른 재발 차이와 위험요인 분석
박혜인⋅윤명헌⋅진희승
인하대학교 의과대학 인하대병원 안과학교실
Correspondence:  Hee Seung Chin,
Email: hschin@inha.ac.kr
Received: 13 July 2017   • Revised: 11 September 2017   • Accepted: 23 November 2017
Abstract
PURPOSE
To compare the recurrence percentage and risk factors of recurrence in rhegmatogenous retinal detachment (RRD) after pars plana vitrectomy (PPV) by in two groups of patients according to combined cataract surgery. METHODS: The recurrence percentage of RRD and risk factors after PPV over 20 years, performed by a single surgeon from January 1997 to September 2016, were retrospectively evaluated by classification into two groups according to combined cataract surgery. The risk factors were the patients' factors (age and sex), duration of disease, preoperative visual analyses, posterior capsular tears (PCR) during cataract surgery, the tamponade used, retinal detachment ranges, macular status, number and position of retinal tears, proliferative vitreoretinopathy (PVR) grade, and vitreous opacity. A total of 158 cases were included in the study. RESULTS: The recurrence percentage of RRD was not associated with combined cataract surgery. In the combined cataract surgery group, PCR (p = 0.020), inferior retinal tears (p = 0.037), and PVR above grade B (p = 0.037) were associated with the recurrence of RRD using univariate logistic regression analyses, but PCR (odds ratio 1.880, p = 0.021) was the only significant risk factor for RRD using multivariate logistic regression analyses. CONCLUSIONS: Cataract surgery can be performed at any time, but there should be consideration of the recurrence of RRD if there was PCR during combined cataract surgery.
Key Words: Combined cataract surgery;Recurrence;Rhegmatogenous retinal detachment;Risk factors;Vitrectomy


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