Journal article
Impact of contact versus non-contact wide-angle viewing systems on outcomes of primary retinal detachment repair (PRO study report number 5)
British journal of ophthalmology, v 105(3), pp 410-413
Mar 2021
PMID: 32409294
Abstract
Background/aims
Vitrectomy to repair retinal detachment is often performed with either non-contact wide-angle viewing systems or wide-angle contact viewing systems. The purpose of this study is to assess whether the viewing system used is associated with any differences in surgical outcomes of vitrectomy for primary non-complex retinal detachment repair.
Methods
This is a multicenter, interventional, retrospective, comparative study. Eyes that underwent non-complex primary retinal detachment repair by either pars plana vitrectomy (PPV) alone or in combination with scleral buckle/PPV in 2015 were evaluated. The viewing system at the time of the retinal detachment repair was identified and preoperative patient characteristics, intraoperative findings and postoperative outcomes were recorded.
Results
A total of 2256 eyes were included in our analysis. Of those, 1893 surgeries used a non-contact viewing system, while 363 used a contact lens system. There was no statistically significant difference in single surgery anatomic success at 3 months (p=0.72), or final anatomic success (p=0.40). Average postoperative visual acuity for the contact-based cases was logMAR 0.345 (20/44 Snellen equivalent) compared with 0.475 (20/60 Snellen equivalent) for non-contact (p=0.001). After controlling for numerous confounding variables in multivariable analysis, viewing system choice was no longer statistically significant (p=0.097).
Conclusion
There was no statistically significant difference in anatomic success achieved for primary retinal detachment repair when comparing non-contact viewing systems to contact lens systems. Postoperative visual acuity was better in the contact-based group but this was not statistically significant when confounding factors were controlled for.
Metrics
Details
- Title
- Impact of contact versus non-contact wide-angle viewing systems on outcomes of primary retinal detachment repair (PRO study report number 5)
- Creators
- Marisa G. Tieger - Harvard UniversityMarianeli Rodriguez - Harvard UniversityJay C. Wang - Harvard UniversityAnthony Obeid - Thomas Jefferson UniversityClaire Ryan - ViteroRetinal SurgeryXinxiao Gao - Thomas Jefferson UniversitySrividya Kakulavarapu - Nova Southeastern UniversityPatrick J. Mardis - University of Tennessee at KnoxvilleMalika L. Madhava - Thomas Jefferson UniversitySean M. Maloney - Thomas Jefferson UniversityAdam Z. Adika - Temple UniversityKrishi V. Peddada - Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, PA, USAKareem Sioufi - Mid Atlantic Retina, Wills Eye Hospital, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USAJames A. Stefater - Harvard UniversityNora J. Forbes - Thomas Jefferson UniversityAntonio Capone Jr - Oakland UniversityGeoffrey G. Emerson - The Retina CenterDaniel P. Joseph - Retina InstituteCarl Regillo - Thomas Jefferson UniversityJason Hsu - University of PennsylvaniaOmesh Gupta - Thomas Jefferson UniversityDean Eliott - Harvard UniversityEdwin H. Ryan - ViteroRetinal SurgeryYoshihiro Yonekawa - Thomas Jefferson University
- Publication Details
- British journal of ophthalmology, v 105(3), pp 410-413
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000624068000020
- Scopus ID
- 2-s2.0-85085017750
- Other Identifier
- 991021860764004721
InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Ophthalmology