PMID- 33465770 OWN - NLM STAT- MEDLINE DCOM- 20210917 LR - 20210917 IS - 1423-0267 (Electronic) IS - 0030-3755 (Linking) VI - 244 IP - 3 DP - 2021 TI - Predictive Factors for Long-Term Postoperative Visual Outcome in Patients with Macula-Off Rhegmatogenous Retinal Detachment Treated with Vitrectomy. PG - 213-217 LID - 10.1159/000514538 [doi] AB - PURPOSE: The purpose of this prospective study was to evaluate potential predictive factors of long-term postoperative outcomes in patients with macula-off rhegmatogenous retinal detachment (RRD) treated with pars plana vitrectomy (PPV). METHODS: Participants in this study were 86 patients diagnosed with macula-off RRD, who underwent PPV. Demographic characteristics and preoperative characteristics of RRD were recorded, while best corrected visual acuity (BCVA) was measured preoperatively and at specific postoperative time points (6 weeks and 6, 12, and 24 months). In addition, spectral domain-optical coherence tomography (SD-OCT) characteristics at postoperative week 6 were assessed as potential factors affecting the long-term postoperative visual outcome 24 months after PPV for RRD. RESULTS: Increasing age, duration of RD of more than 1 week, presence of proliferative vitreoretinopathy, increasing central retinal thickness, ellipsoid zone disruption, and external limiting membrane disruption were significantly associated with a worse BVCA. BCVA was not associated with gender, lens status, the location of breaks, the gas tamponade agent used in PPV, the presence of subretinal fluid, and intraretinal fluid. CONCLUSIONS: It is important to determine predictive factors for visual outcomes in order to inform patients about their prognosis and help in the decision-making process for patient management. CI - (c) 2021 S. Karger AG, Basel. FAU - Chatziralli, Irini AU - Chatziralli I AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece. FAU - Chatzirallis, Alexandros AU - Chatzirallis A AD - 2nd Department of Ophthalmology, Ophthalmiatrion Athinon, Athens, Greece. FAU - Kazantzis, Dimitrios AU - Kazantzis D AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece. FAU - Dimitriou, Eleni AU - Dimitriou E AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece. FAU - Machairoudia, Genovefa AU - Machairoudia G AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece. FAU - Theodossiadis, George AU - Theodossiadis G AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece. FAU - Parikakis, Efstratios AU - Parikakis E AD - 2nd Department of Ophthalmology, Ophthalmiatrion Athinon, Athens, Greece. FAU - Theodossiadis, Panagiotis AU - Theodossiadis P AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece. LA - eng PT - Journal Article DEP - 20210119 PL - Switzerland TA - Ophthalmologica JT - Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde JID - 0054655 SB - IM MH - Humans MH - *Macula Lutea MH - Prospective Studies MH - *Retinal Detachment/diagnosis/surgery MH - Retrospective Studies MH - Tomography, Optical Coherence MH - Visual Acuity MH - Vitrectomy OTO - NOTNLM OT - Optical coherence tomography OT - Predictive factors OT - Rhegmatogenous retinal detachment OT - Vitrectomy EDAT- 2021/01/20 06:00 MHDA- 2021/09/18 06:00 CRDT- 2021/01/19 20:15 PHST- 2020/06/07 00:00 [received] PHST- 2021/01/11 00:00 [accepted] PHST- 2021/01/20 06:00 [pubmed] PHST- 2021/09/18 06:00 [medline] PHST- 2021/01/19 20:15 [entrez] AID - 000514538 [pii] AID - 10.1159/000514538 [doi] PST - ppublish SO - Ophthalmologica. 2021;244(3):213-217. doi: 10.1159/000514538. Epub 2021 Jan 19.