Surgical Outcomes of Primary Noncomplex Rhegmatogenous Retinal Detachment in 20- to 45-Year-Old Young Adults.
Document Type
Article
Publication Date
8-7-2025
Publication Title
J Vitreoretin Dis
Abstract
Purpose: To analyze anatomic and visual outcomes of young adults with uncomplicated primary rhegmatogenous retinal detachment (RRD) treated with scleral buckle, pars plana vitrectomy (PPV), or combined PPV and scleral buckle. Methods: Patients included in the Primary Retinal Detachment Outcomes study with a minimum of 6 months follow-up were evaluated in this multicenter interventional cohort study,. Patients with complex RRDs were excluded. Primary outcomes were single surgery anatomic success and final visual acuity (VA). Results: Scleral buckle was performed in 91 eyes (55%), PPV in 32 (19%), and combined PPV and scleral buckle in 42 (25%). Single surgery anatomic success rates were 79.3% for PPV alone, 83.7% for primary scleral buckle, and 92.7% for combined PPV and scleral buckle (analysis of variance, P = .25). When adjusting for potential risk factors, eyes that had PPV alone were more likely to redetach compared with those that had combined PPV and scleral buckle (hazard ratio [HR], 7.24, 95% CI, 1.25-42.1; P = .03), while rates of redetachment were similar in eyes that had scleral buckle alone and combined PPV and scleral buckle (HR, 3.24, 95% CI, 0.63-16.63; P = .16). However, eyes that had combined PPV and scleral buckle were less likely to result in good vision compared with eyes that had scleral buckle alone (odds ratio [OR], 0.26, 95% CI, 0.07-0.94; P = .04). Similarly, eyes that had PPV alone were less likely to obtain good vision compared with eyes that only had scleral buckle (OR, 0.20, 95% CI, 0.05-0.81; P = .02). Conclusions: For young adults in this study, the best visual outcomes resulted from scleral buckle, and a higher single surgery success rate was found with combined PPV and scleral buckle.
Volume
Online ahead of print
First Page
24741264251359055
Last Page
24741264251359055
Recommended Citation
Ammar MJ, Lee JJ, Cai L, Wang KY, Obeid A, Ryan C, Gupta OP, Hsu J, Forbes NJ, Starr MR, Patel LG, Wakabayashi T, Capone A Jr, Emerson GG, Eliott D, Joseph DP, Regillo CD, Ryan EH, Yonekawa Y. Surgical Outcomes of Primary Noncomplex Rhegmatogenous Retinal Detachment in 20- to 45-Year-Old Young Adults. J Vitreoretin Dis. 2025 Aug 7:24741264251359055. doi: 10.1177/24741264251359055. Epub ahead of print. PMID: 40786839; PMCID: PMC12334409.
DOI
10.1177/24741264251359055.
ISSN
2474-1272
PubMed ID
40786839