Risk Factors for Presence of Cystoid Macular Edema following Rhegmatogenous Retinal Detachment Surgery

Purpose: Cystoid macular edema (CME) following cataract surgery is a well-known entity. Less is known regarding the risk factors of developing CME following repair of rhegmatogenous retinal detachments (RRD). Methods: This was a multi-institutional study of primary RRD surgeries from 1/1/2015 throug...

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Bibliographic Details
Published in:Current eye research 2021-12, Vol.46 (12), p.1867-1875
Main Authors: Starr, Matthew R., Cai, Louis, Obeid, Anthony, Ryan, Edwin H., Eliott, Dean, Ryan, Claire, Forbes, Nora J., Ammar, Michael, Patel, Luv G., Capone, Antonio, Emerson, Geoffrey G., Joseph, Daniel P., Gupta, Omesh P., Regillo, Carl D., Hsu, Jason, Yonekawa, Yoshihiro
Format: Article
Language:English
Subjects:
Aged
Cystoid macular edema
Female
Follow-Up Studies
Humans
Incidence
Macular Edema - diagnosis
Macular Edema - epidemiology
Macular Edema - etiology
Male
Middle Aged
Prognosis
Retinal Detachment - diagnosis
Retinal Detachment - surgery
Retrospective Studies
rhegmatogenous retinal detachment
Risk Assessment - methods
Risk Factors
Tomography, Optical Coherence
United States - epidemiology
Visual Acuity
Vitrectomy - adverse effects
vitreoretinal surgery
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Summary:Purpose: Cystoid macular edema (CME) following cataract surgery is a well-known entity. Less is known regarding the risk factors of developing CME following repair of rhegmatogenous retinal detachments (RRD). Methods: This was a multi-institutional study of primary RRD surgeries from 1/1/2015 through 12/31/2015. The primary outcome was the development of postoperative CME following RRD surgery. Post-operative optical coherence tomography imaging and 3 months of follow-up following RRD repair were required. Results: There were 1,466 eyes that met the inclusion criteria, and 140 (9.6%) developed postoperative CME following primary RRD repair. On multivariate analysis, the statistically significant metrics were older patient age (OR 1.03 per year, 95% CI 1.01 to 1.05), pre-operative proliferative vitreoretinopathy (PVR, OR 1.74, 95% 1.03 to 2.95), and cataract surgery following RRD repair (OR 2.18, 95% CI 1.47 to 3.25). Single surgery success was protective against CME (OR 0.20 (95% CI 0.14-0.30). Seventy-six (9.0%) of the phakic eyes and 60 (9.9%) of the pseudophakic eyes developed post-operative CME. Multivariate analysis showed that cataract surgery following RRD repair (p
ISSN:0271-3683
1460-2202
DOI:10.1080/02713683.2021.1929330