Irigoyen Cristina, Goikoetxea-Zubeldia Ainhoa, Sanchez-Molina Jorge, Amenabar Alonso Asier, Ruiz-Miguel Miguel, Iglesias-Gaspar Maria Teresa
Donostia University Hospital, 20014 San Sebastian, Spain.
Medicine Department, University of the Basque Country (EHU/UPV), 48940 San Sebastian, Spain.
J Clin Med. 2022 Aug 4;11(15):4551. doi: 10.3390/jcm11154551.
(1) Objective: To determine the incidence, visual outcomes and risk factors associated with the recurrence of primary retinal detachment (RD) in a tertiary hospital. (2) Methods: A retrospective observational study was conducted, and data were collected on all eyes diagnosed with primary RD between January 2017 and December 2020. A detailed database was generated with data on anatomic and visual outcomes, and surgical technique information, for all the cases. (3) Results: 570 eyes with primary RD were included. Mean annual incidence of primary RD was 21.8 cases per 100,000 inhabitants. Mean follow-up time was 465 (±410.5) days. Mean time to redetachment was 114.4 (±215.8) days, with the median being 35 days. Statistically significant variables related to a higher risk of recurrence were: male sex (p = 0.04), type of tamponade (p = 0.01), surgeon (p = 0.035), inferonasal (p = 0.002) and inferotemporal (p = 0.032) involvement, complex RD (p < 0.001) and ocular comorbidity (p < 0.001). More satisfactory final visual acuity (VA) in patients not suffering redetachment was associated with shorter duration of central vision loss. (4) Conclusions: Sex, type of tamponade, inferior detachment, RD complexity, surgeon and ocular comorbidity were identified as prognostic factors for recurrence. Worse final postoperative VA was found in patients referring central vision loss for more than 4 days before surgery.
(1) 目的：确定一家三级医院原发性视网膜脱离（RD）复发的发生率、视力预后及相关危险因素。(2) 方法：进行一项回顾性观察研究，收集2017年1月至2020年12月期间所有诊断为原发性RD的患眼的数据。为所有病例建立了一个详细的数据库，其中包含解剖和视力预后数据以及手术技术信息。(3) 结果：纳入570例原发性RD患眼。原发性RD的年平均发生率为每10万居民21.8例。平均随访时间为465（±410.5）天。再次脱离的平均时间为114.4（±215.8）天，中位数为35天。与复发风险较高相关的具有统计学意义的变量为：男性（p = 0.04）、填塞类型（p = 0.01）、手术医生（p = 0.035）、鼻下象限（p = 0.002）和颞下象限受累（p = 0.032）、复杂性RD（p < 0.001）和眼部合并症（p < 0.001）。未发生再次脱离的患者最终视力（VA）更满意与中心视力丧失持续时间较短有关。(4) 结论：性别、填塞类型、下方脱离、RD复杂性、手术医生和眼部合并症被确定为复发的预后因素。术前中心视力丧失超过4天的患者术后最终视力较差。
