Surgical outcomes of primary rrd with and without concurrent full-thickness macular hole (pro study report no. 7)

Matthew R. Starr, Anthony Obeid, Edwin H. Ryan, Xinxiao Gao, Doug Matsunaga, Malika L. Madhava, Sean M. Maloney, Adam Z. Adika, Krishi V. Peddada, Kareem Sioufi, Michael Ammar, Luv G. Patel, Claire Ryan, Nora J. Forbes, Antonio Capone, Geoffrey G. Emerson, Daniel P. Joseph, Dean Eliott, Carl D. Regillo, Jason HsuYoshihiro Yonekawa, Omesh P. Gupta

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: Non-causal macular holes (MHs) can occur concurrently with rhegmatogenous retinal detachments (RRDs). The visual outcomes and surgical approach for these eyes are variable. PATIENTS AND METHODS: This was a multi-institutional, retrospective review of all primary retinal detachment surgeries from January 1, 2015, through December 31, 2015. Pre-, intra-, and postoperative metrics were recorded. RESULTS: There were 2,242 eyes that had pars plana vitrectomy for primary RRD, 43 (1.9%) of which had a MH at the time of surgery. The mean postoperative logMAR visual acuity (VA) for the MH cohort was 0.87 ± 0.64 (20/148) and for eyes without a MH was 0.47 ± 0.63 (20/59; P < .0001). The single-surgery reattachment rate for the MH cohort and no MH cohort was 86.1% and 84.9%, respectively (P = 1.0000). CONCLUSIONS: Patients with noncausal MHs and RRD had significantly worse VA than patients without a MH. Preoperative counseling is imperative in patients with both RRD and MH.

Original languageEnglish
Pages (from-to)500-505
Number of pages6
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume51
Issue number9
DOIs
StatePublished - Sep 2020
Externally publishedYes

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