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Effects of internal limiting membrane peeling on anatomical and functional outcomes in macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy: Japan-Retinal Detachment Registry
Purpose To investigate the effects of internal limiting membrane (ILM) peeling on retinal attachment after a single surgery, and on postoperative visual acuity (VA) at 6 months, in eyes with macula-off rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR). Stud...
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| Published in: | Japanese journal of ophthalmology 2023-07, Vol.67 (4), p.417-423 |
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| container_end_page | 423 |
| container_issue | 4 |
| container_start_page | 417 |
| container_title | Japanese journal of ophthalmology |
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| creator | Obata, Shumpei Sawada, Osamu Kakinoki, Masashi Matsumoto, Riko Saishin, Yoshitsugu Ohji, Masahito |
| description | Purpose
To investigate the effects of internal limiting membrane (ILM) peeling on retinal attachment after a single surgery, and on postoperative visual acuity (VA) at 6 months, in eyes with macula-off rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR).
Study design
Nationwide, multicenter retrospective cohort study.
Methods
The Japan-RD Registry database was used for analysis of patients who had undergone vitrectomy for macula-off RRD complicated by PVR. Multivariate analysis was performed to detect prognostic factors for retinal attachment after a single surgery and for VA at 6 months postoperatively. Retinal attachment after a single surgery or VA at 6 months postoperatively was the objective variable; ILM peeling, preoperative VA, PVR grade, age, and intraocular pressure were explanatory variables.
Results
Eighty-nine eyes met the inclusion criteria; ILM peeling was performed in 25 eyes (28%). Preoperative VA was significantly associated with retinal attachment, but ILM peeling did not (odds ratios = 2.1 and 1.3, respectively; p = 0.009 and 0.67, respectively). Poor preoperative VA and younger patient age were significantly associated with poor postoperative VA, but ILM peeling was not (β-values = 0.37, −0.008, and 0.15, respectively; p < 0.001, p = 0.02, and p = 0.15, respectively.
Conclusions
Preoperative VA was a risk factor associated with retinal attachment. Preoperative VA and patient age were risk factors associated with postoperative poor VA. In eyes with macula-off RRD complicated by PVR, ILM peeling did not have a clear beneficial effect on anatomical and functional outcomes, suggesting that it may be unnecessary for eyes with this condition. |
| doi_str_mv | 10.1007/s10384-023-01000-y |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2823989141</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2831410590</sourcerecordid><originalsourceid>FETCH-LOGICAL-c512t-bf6499afd306c993b73f7b5241fc8b243fd9f8e9e2ce4ba031af91642bf2bb43</originalsourceid><addsrcrecordid>eNp9kctu1DAUhi0EokPhBVggS2zYBHxJMjE71JabKiFV3Ue2c5xxFdvBdirlQXkfnM5AJRasLB1__-fLj9BrSt5TQvYfEiW8qyvCeEXKgFTrE7SjLeUVY3X7FO0IYbRqaNOcoRcp3RWkZpw9R2d8zzrBRLdDv66MAZ0TDgZbnyF6OeHJOputH7EDp6L0gGeAaRsEj6WXOTirCyf9gM3idbZhi4Ul6-AgFRF2Ui-TrIIxOB5gdCUzgg9LwhGKutADZKkPDnzGJTVPxZhhwGrFcwyTNRBltveA722OEB5SYZb5sH7E3-UsfXVzEl0-im5gtCnH9SV6ZuSU4NVpPUe3n69uL75W1z--fLv4dF3phrJcKdPWQkgzcNJqIbjac7NXDaup0Z1iNTeDMB0IYBpqJQmn0gja1kwZplTNz9G7o7bc-OcCKffOJg3TVL6sPLVnHeOiE7SmBX37D3oXlu2zN4oXgjSCFIodKR1DShFMP0frZFx7Svqt8_7YeV867x8679cSenNSL8rB8Dfyp-QC8COQypYfIT6e_R_tb9kWvvU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2831410590</pqid></control><display><type>article</type><title>Effects of internal limiting membrane peeling on anatomical and functional outcomes in macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy: Japan-Retinal Detachment Registry</title><source>Springer Link</source><creator>Obata, Shumpei ; Sawada, Osamu ; Kakinoki, Masashi ; Matsumoto, Riko ; Saishin, Yoshitsugu ; Ohji, Masahito</creator><creatorcontrib>Obata, Shumpei ; Sawada, Osamu ; Kakinoki, Masashi ; Matsumoto, Riko ; Saishin, Yoshitsugu ; Ohji, Masahito ; Japan-Retinal Detachment Registry Group ; the Japan-Retinal Detachment Registry Group</creatorcontrib><description>Purpose
To investigate the effects of internal limiting membrane (ILM) peeling on retinal attachment after a single surgery, and on postoperative visual acuity (VA) at 6 months, in eyes with macula-off rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR).
Study design
Nationwide, multicenter retrospective cohort study.
Methods
The Japan-RD Registry database was used for analysis of patients who had undergone vitrectomy for macula-off RRD complicated by PVR. Multivariate analysis was performed to detect prognostic factors for retinal attachment after a single surgery and for VA at 6 months postoperatively. Retinal attachment after a single surgery or VA at 6 months postoperatively was the objective variable; ILM peeling, preoperative VA, PVR grade, age, and intraocular pressure were explanatory variables.
Results
Eighty-nine eyes met the inclusion criteria; ILM peeling was performed in 25 eyes (28%). Preoperative VA was significantly associated with retinal attachment, but ILM peeling did not (odds ratios = 2.1 and 1.3, respectively; p = 0.009 and 0.67, respectively). Poor preoperative VA and younger patient age were significantly associated with poor postoperative VA, but ILM peeling was not (β-values = 0.37, −0.008, and 0.15, respectively; p < 0.001, p = 0.02, and p = 0.15, respectively.
Conclusions
Preoperative VA was a risk factor associated with retinal attachment. Preoperative VA and patient age were risk factors associated with postoperative poor VA. In eyes with macula-off RRD complicated by PVR, ILM peeling did not have a clear beneficial effect on anatomical and functional outcomes, suggesting that it may be unnecessary for eyes with this condition.</description><identifier>ISSN: 0021-5155</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-023-01000-y</identifier><identifier>PMID: 37289298</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Acuity ; Age ; Attachment ; Clinical Investigation ; Constraining ; Eye ; Intraocular pressure ; Medicine ; Medicine & Public Health ; Membranes ; Multivariate analysis ; Ophthalmology ; Peeling ; Retina ; Retinal detachment ; Risk factors ; Surgery ; Visual acuity</subject><ispartof>Japanese journal of ophthalmology, 2023-07, Vol.67 (4), p.417-423</ispartof><rights>Japanese Ophthalmological Society 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. Japanese Ophthalmological Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-bf6499afd306c993b73f7b5241fc8b243fd9f8e9e2ce4ba031af91642bf2bb43</citedby><cites>FETCH-LOGICAL-c512t-bf6499afd306c993b73f7b5241fc8b243fd9f8e9e2ce4ba031af91642bf2bb43</cites><orcidid>0000-0001-6120-2392</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37289298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Obata, Shumpei</creatorcontrib><creatorcontrib>Sawada, Osamu</creatorcontrib><creatorcontrib>Kakinoki, Masashi</creatorcontrib><creatorcontrib>Matsumoto, Riko</creatorcontrib><creatorcontrib>Saishin, Yoshitsugu</creatorcontrib><creatorcontrib>Ohji, Masahito</creatorcontrib><creatorcontrib>Japan-Retinal Detachment Registry Group</creatorcontrib><creatorcontrib>the Japan-Retinal Detachment Registry Group</creatorcontrib><title>Effects of internal limiting membrane peeling on anatomical and functional outcomes in macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy: Japan-Retinal Detachment Registry</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose
To investigate the effects of internal limiting membrane (ILM) peeling on retinal attachment after a single surgery, and on postoperative visual acuity (VA) at 6 months, in eyes with macula-off rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR).
Study design
Nationwide, multicenter retrospective cohort study.
Methods
The Japan-RD Registry database was used for analysis of patients who had undergone vitrectomy for macula-off RRD complicated by PVR. Multivariate analysis was performed to detect prognostic factors for retinal attachment after a single surgery and for VA at 6 months postoperatively. Retinal attachment after a single surgery or VA at 6 months postoperatively was the objective variable; ILM peeling, preoperative VA, PVR grade, age, and intraocular pressure were explanatory variables.
Results
Eighty-nine eyes met the inclusion criteria; ILM peeling was performed in 25 eyes (28%). Preoperative VA was significantly associated with retinal attachment, but ILM peeling did not (odds ratios = 2.1 and 1.3, respectively; p = 0.009 and 0.67, respectively). Poor preoperative VA and younger patient age were significantly associated with poor postoperative VA, but ILM peeling was not (β-values = 0.37, −0.008, and 0.15, respectively; p < 0.001, p = 0.02, and p = 0.15, respectively.
Conclusions
Preoperative VA was a risk factor associated with retinal attachment. Preoperative VA and patient age were risk factors associated with postoperative poor VA. In eyes with macula-off RRD complicated by PVR, ILM peeling did not have a clear beneficial effect on anatomical and functional outcomes, suggesting that it may be unnecessary for eyes with this condition.</description><subject>Acuity</subject><subject>Age</subject><subject>Attachment</subject><subject>Clinical Investigation</subject><subject>Constraining</subject><subject>Eye</subject><subject>Intraocular pressure</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Membranes</subject><subject>Multivariate analysis</subject><subject>Ophthalmology</subject><subject>Peeling</subject><subject>Retina</subject><subject>Retinal detachment</subject><subject>Risk factors</subject><subject>Surgery</subject><subject>Visual acuity</subject><issn>0021-5155</issn><issn>1613-2246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1DAUhi0EokPhBVggS2zYBHxJMjE71JabKiFV3Ue2c5xxFdvBdirlQXkfnM5AJRasLB1__-fLj9BrSt5TQvYfEiW8qyvCeEXKgFTrE7SjLeUVY3X7FO0IYbRqaNOcoRcp3RWkZpw9R2d8zzrBRLdDv66MAZ0TDgZbnyF6OeHJOputH7EDp6L0gGeAaRsEj6WXOTirCyf9gM3idbZhi4Ul6-AgFRF2Ui-TrIIxOB5gdCUzgg9LwhGKutADZKkPDnzGJTVPxZhhwGrFcwyTNRBltveA722OEB5SYZb5sH7E3-UsfXVzEl0-im5gtCnH9SV6ZuSU4NVpPUe3n69uL75W1z--fLv4dF3phrJcKdPWQkgzcNJqIbjac7NXDaup0Z1iNTeDMB0IYBpqJQmn0gja1kwZplTNz9G7o7bc-OcCKffOJg3TVL6sPLVnHeOiE7SmBX37D3oXlu2zN4oXgjSCFIodKR1DShFMP0frZFx7Svqt8_7YeV867x8679cSenNSL8rB8Dfyp-QC8COQypYfIT6e_R_tb9kWvvU</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Obata, Shumpei</creator><creator>Sawada, Osamu</creator><creator>Kakinoki, Masashi</creator><creator>Matsumoto, Riko</creator><creator>Saishin, Yoshitsugu</creator><creator>Ohji, Masahito</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6120-2392</orcidid></search><sort><creationdate>20230701</creationdate><title>Effects of internal limiting membrane peeling on anatomical and functional outcomes in macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy: Japan-Retinal Detachment Registry</title><author>Obata, Shumpei ; Sawada, Osamu ; Kakinoki, Masashi ; Matsumoto, Riko ; Saishin, Yoshitsugu ; Ohji, Masahito</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-bf6499afd306c993b73f7b5241fc8b243fd9f8e9e2ce4ba031af91642bf2bb43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acuity</topic><topic>Age</topic><topic>Attachment</topic><topic>Clinical Investigation</topic><topic>Constraining</topic><topic>Eye</topic><topic>Intraocular pressure</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Membranes</topic><topic>Multivariate analysis</topic><topic>Ophthalmology</topic><topic>Peeling</topic><topic>Retina</topic><topic>Retinal detachment</topic><topic>Risk factors</topic><topic>Surgery</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Obata, Shumpei</creatorcontrib><creatorcontrib>Sawada, Osamu</creatorcontrib><creatorcontrib>Kakinoki, Masashi</creatorcontrib><creatorcontrib>Matsumoto, Riko</creatorcontrib><creatorcontrib>Saishin, Yoshitsugu</creatorcontrib><creatorcontrib>Ohji, Masahito</creatorcontrib><creatorcontrib>Japan-Retinal Detachment Registry Group</creatorcontrib><creatorcontrib>the Japan-Retinal Detachment Registry Group</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Japanese journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Obata, Shumpei</au><au>Sawada, Osamu</au><au>Kakinoki, Masashi</au><au>Matsumoto, Riko</au><au>Saishin, Yoshitsugu</au><au>Ohji, Masahito</au><aucorp>Japan-Retinal Detachment Registry Group</aucorp><aucorp>the Japan-Retinal Detachment Registry Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of internal limiting membrane peeling on anatomical and functional outcomes in macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy: Japan-Retinal Detachment Registry</atitle><jtitle>Japanese journal of ophthalmology</jtitle><stitle>Jpn J Ophthalmol</stitle><addtitle>Jpn J Ophthalmol</addtitle><date>2023-07-01</date><risdate>2023</risdate><volume>67</volume><issue>4</issue><spage>417</spage><epage>423</epage><pages>417-423</pages><issn>0021-5155</issn><eissn>1613-2246</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Purpose
To investigate the effects of internal limiting membrane (ILM) peeling on retinal attachment after a single surgery, and on postoperative visual acuity (VA) at 6 months, in eyes with macula-off rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR).
Study design
Nationwide, multicenter retrospective cohort study.
Methods
The Japan-RD Registry database was used for analysis of patients who had undergone vitrectomy for macula-off RRD complicated by PVR. Multivariate analysis was performed to detect prognostic factors for retinal attachment after a single surgery and for VA at 6 months postoperatively. Retinal attachment after a single surgery or VA at 6 months postoperatively was the objective variable; ILM peeling, preoperative VA, PVR grade, age, and intraocular pressure were explanatory variables.
Results
Eighty-nine eyes met the inclusion criteria; ILM peeling was performed in 25 eyes (28%). Preoperative VA was significantly associated with retinal attachment, but ILM peeling did not (odds ratios = 2.1 and 1.3, respectively; p = 0.009 and 0.67, respectively). Poor preoperative VA and younger patient age were significantly associated with poor postoperative VA, but ILM peeling was not (β-values = 0.37, −0.008, and 0.15, respectively; p < 0.001, p = 0.02, and p = 0.15, respectively.
Conclusions
Preoperative VA was a risk factor associated with retinal attachment. Preoperative VA and patient age were risk factors associated with postoperative poor VA. In eyes with macula-off RRD complicated by PVR, ILM peeling did not have a clear beneficial effect on anatomical and functional outcomes, suggesting that it may be unnecessary for eyes with this condition.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>37289298</pmid><doi>10.1007/s10384-023-01000-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6120-2392</orcidid></addata></record> |
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| subjects | Acuity Age Attachment Clinical Investigation Constraining Eye Intraocular pressure Medicine Medicine & Public Health Membranes Multivariate analysis Ophthalmology Peeling Retina Retinal detachment Risk factors Surgery Visual acuity |
| title | Effects of internal limiting membrane peeling on anatomical and functional outcomes in macula-off rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy: Japan-Retinal Detachment Registry |
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