Clinical Study

Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study

Table 2

Mean preoperative characteristics of the Retina 1 series included in the G1 group.

Whole series (Retina 1)Macula-on group (G1) value
(%) (%)95%CI

Previous PVR
 No522 (49.9%)203 (56.9%)51.7%; 62%0.0095
 A247 (23.6%)88 (24.7%)20.2%; 29.1%0.6823
 B278 (26.6%)66 (18.5%)14.5%; 22.5%0.0007
 Total1047 (100%)357 (100%)
Retinal break
 Tear739 (70.7%)252 (70.6%)65.9%; 75.3%1
 Hole223 (21.3%)74 (20.7%)16.5%; 24.9%0.8278
 Dialysis12 (1.2%)7 (2%)0.5%; 3.4%0.2346
 Giant tear37 (3.5%)14 (3.9%)1.9%; 5.9%0.805
 Not visible34 (3.3%)10 (2.8%)1.1%; 4.5%0.7421
 Total1045 (100%)357 (100%)
Type of break
 Single526 (52.1%)196 (56.5%)51.3%; 61.7%0.1164
 Multiple432 (42.8%)137 (39.5%)34.3%; 44.6%0.2306
 Posterior rupture17 (1.7%)4 (1.2%)0%; 2.3%0.5786
 Not visible34 (3.4%)10 (2.9%)1.1%; 4.6%0.7225
 Total1009 (100%)357 (100%)
Size of breaks (clock hours)
 Not visible34 (3.3%)10 (2.9%)1.1%; 4.6%0.7321
 0-1673 (65.4%)235 (66.6%)61.7%; 71.5%0.684
 2-3265 (25.8%)82 (23.2%)18.8%; 27.6%0.3067
357 (5.5%)26 (7.4%)4.6%; 10.1%0.1667
 Total1029 (100%)353 (100%)
Previous vitreous hemorrhage
 No 908 (88%)304 (85.9%)82.3%; 89.5%0.2561
 Yes124 (12%)50 (14.1%)10.5%; 17.8%0.2561
 Total 1032 (100%)354 (100%)
Extension RD (quadrants)
 0-1188 (18.1%)147 (41.4%)36.3%; 46.5%<0.0001
 2-3736 (70.8%)208 (58.6%)53.5%; 63.7%<0.0001
 4116 (11.2%)0 (0%)0%; 1.3%<0.0001
 Total1040 (100%)355 (100%)
Macula
 On382 (36.7%)357 (100%)98.7%; 100%<0.0001
 Off658 (63.3%)0 (0%)0%; 1.3%<0.0001
 Total1040 (100%)357 (100%)
Previous aphakic
 No664 (63.5%)248 (69.7%)64.9%; 74.4%0.0179
 Yes382 (36.5%)108 (30.3%)25.6%; 35.1%0.0179
 Total1046 (100%)356 (100%)
PVD
 Unknown357 (34.1%)113 (31.7%)26.8%; 36.5%0.3578
 No193 (18.4%)80 (22.4%)18.1%; 26.7%0.0614
 Yes497 (47.5%)164 (46%)40.8%; 51.1%0.5985
 Total1047 (100%)357 (100%)
Myopia
 No346 (44.5%)94 (33.7%)28.1%; 39.2%0.0003
5 Dp206 (26.5%)92 (33%)27.5%; 38.5%0.0174
5 Dp225 (29%)93 (33.3%)27.8%; 38.9%0.1225
 Total 777 (100%)279 (100%)
Preoperative VA
20/100631 (61%)44 (12.3%)8.9%; 15.7%<0.0001
 20/100–20/40142 (13.7%)79 (22.1%)17.8%; 26.4%<0.0001
20/40261 (25.2%)234 (65.6%)60.6%; 70.5%<0.0001
 Total1034 (100%)357 (100%)

(%): number and percentage of patients in Retina 1 Project and macula-on group (G1); G1: macula-on group; CI: confidence Interval; PVR: proliferative vitreoretinopathy; PVR grades A and B as defined by the Retina Society Classification in 1983; PVD: posterior vitreous detachment; RD: retinal detachment; VA: visual acuity, best corrected visual acuity.