Study finds, Characterstics & Surgical outcomes of Rhegmatog
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A Study was conducted to describe characteristics and outcomes of primary rhegmatogenous retinal detachment in older adults (age more than 80).

In the Primary Retinal Detachment Outcomes Study, patients with rhegmatogenous retinal detachment who underwent pars plana vitrectomy (PPV), scleral buckling (SB), or PPV/SB were evaluated. Single-surgery anatomic success and visual acuity were used as outcome indicators.

Results:
--Of 2,144 patients included, 125 (6%) were 80 years or older. Compared with younger patients (age 40–79), older adults were more likely to be pseudophakic, have macula-off detachments, and have preoperative proliferative vitreoretinopathy.

--In older adults, initial surgery was PPV in 73%, PPV/SB in 27%, and primary SB in 0%. Single surgery anatomic success was 78% in older adults compared with 84% in younger patients.

--In older adults, single surgery anatomic success was 74% for PPV and 91% for PPV/SB. The final mean logMAR was lower for older adults (0.79 [20/125] vs. 0.40 [20/40]).

--In older adults, the final mean logMAR for eyes that underwent PPV was 0.88 (20/160) compared with 0.50 (20/63) for PPV/SB.

Finally, octogenarians and nonagenarians all had pseudophakic rhegmatogenous retinal detachments that were relatively complex. When compared to younger patients, single surgery anatomic performance and visual outcomes were lower, and PPV/SB had better outcomes than PPV alone.

Source: https://journals.lww.com/retinajournal/Abstract/2021/05000/CHARACTERISTICS_AND_SURGICAL_OUTCOMES_OF.8.aspx
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