The area under the receiver operator curve was 71.7%. C 2F 6 tamponade, cryotherapy, and 25 G vitrectomy, were associated with reduced risk of failure. On multivariate analysis, the following were associated with increased risk of failure: age 79, inferior retinal breaks, total detachment, one quadrant or greater inferior detachment, low density silicone oil, and presence of proliferative vitreoretinopathy. Primary anatomical failure occurred in 13.9%. 63.9% of patients were male, and the median age was 62. 869 eyes were excluded, either because no outcome was recorded, or inadequate follow up, leaving 5508 operations for analysis. The main outcome measure was anatomical failure within six months of surgery. Collected data complied with the RCOphth Retinal Detachment Dataset. MethodsĪ retrospective analysis of prospectively collected data, using a database of RD treated with vitrectomy and internal tamponade. To identify variables associated with primary anatomical outcome following vitrectomy and internal tamponade for rhegmatogenous retinal detachment (RD). Laurie Barclay has disclosed the following relevant financial relationships: formerly owned stocks in AbbVie Inc. Thomas’ NHS Foundation Trust, London, United Kingdom Journal CME author disclosure information Aylward, MD, FRCOphth, Moorfields Eye Hospital City Road, London, United Kingdom. Steel, MD, FRCOphth, Sunderland Eye Infirmary, Sunderland, United Kingdom, Bioscience Institute, Newcastle University, Newcastle Upon Tyne, United Kingdom. Thomas’ NHS Foundation Trust, London, United Kingdom. Donachie, MSc, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom, The Royal College of Ophthalmologists, National Ophthalmology Database Audit, London, United Kingdom. Sobha Sivaprasad, MD, Editor, Eye Authors/Editors disclosure informationĭavid Yorston, FRCOphth, Gartnavel Hospital, Glasgow, Scotland. To participate in this journal CME activity: (1) review the learning objectives and author disclosures (2) study the education content (3) take the post-test with a 75% minimum passing score and complete the evaluation at (4) view/print certificate. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Medscape, LLC designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Medscape, LLC is jointly accredited with commendation by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. In support of improving patient care, this activity has been planned and implemented by Medscape, LLC and Springer Nature. Upon completion of this activity, participants will:Īssess variables associated with primary anatomical outcome (anatomical failure within 6 months of surgery) after vitrectomy and internal tamponade for rhegmatogenous retinal detachment, based on a retrospective analysis of prospectively collected dataĮvaluate risk stratification using a multivariate logistic regression model incorporating variables associated with anatomical failure within 6 months of rhegmatogenous retinal detachment surgery, based on a retrospective analysis of prospectively collected dataĭetermine the clinical implications of variables associated with primary anatomical outcome (anatomical failure within 6 months of surgery) after vitrectomy and internal tamponade for rhegmatogenous retinal detachment, based on a retrospective analysis of prospectively collected data.
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