Skip Ribbon Commands
Skip to main content
Menu

Surgical Retina

Audit and Research

The number of surgeries, diagnoses and outcomes for RD and ERM are shown in Figures 10.3 to 10.7 and in Table 10.4.



The most common diagnosis includes RRD and GRT, diabetic eye diseases and macular puckers.


Retinal Detachment

Final success (defined as success after one or more surgical attempts) was achieved by 98.1% of patients, while primary success (defined as success after one surgery attempt) was achieved by 86.8% of patients.



41% of patients achieved an overall best-corrected visual best-corrected visual acuity (BCVA) of 6/12 or better. Of these patients, 35 of the 65 patients had a detached macula.


Table 10.4. Retina surgery: success by macular status in 2013

 

Retina flat

Retina not flat

 

Count

Mean +/- SD VA LogMAR

Count

Mean +/- SD VA LogMAR

Total Count

Macula attached

58

0.45 +/- 0.43

-

-

58

Macula detached

98

0.78 +/- 0.60

3

0.85 +/- 0.75

101

Grand total

156

0.66 +/- 0.57

3

0.85 +/- 0.75

159

LogMAR Logarithm of the Minimum Angle of Resolution; SD, standard deviation; VA, visual acuity.

Eyes presenting RD with attached macula suggest better visual prognosis and success as 100% achieved flat retina after surgery and better vision as determined by the Logarithm of the Minimum Angle of Resolution scoring system.


Visual outcome at 6 months following surgical peeling of ERM

Of the 148 ERM cases in 2012, 54 of the 80 patients (67.5%) achieved a BCVA of 6/12 or better after 6 months.


Benchmarks of success

Success rates of retinal surgeries performed at SNEC are comparable or better than those achieved in multiple international studies.

Table 10.5. Success of RD surgeries performed at SNEC versus those in international studies.

 

Overall primary success

Overall success

UK Eye Audit, 2002

(Thompson et al., 2002)

77% (95% CI 73.9-80.2)

-

The Retina 1 project: Report 3, 2012 (Spain) (Sanabria et al., 2012)

TPPV 86.4

 

European vitreo-retinal society retinal detachment study report 2, 2013 (Adelman, Parnes, Sipperley, & Ducournau, 2013)

 

-

 

SB better than TPPV

Study in Israel (Kinori et al., 2011)

TPPV 81.3%

SB/TPPV 87.1%

TPPV 98.9%

SB/TPPV 98.8%

Study in Japan (Kobashi et al., 2014)

SB 93.7%

TPPV 96.3%

100%

SNEC 2013

SNEC 2014

86.8%

89.9%

98.1%

97.8%

  

Latest audit results 

The latest audit results for RD, ERM and PVR are shown in Table 10.6.

Table 10.6. Audit results for RD, ERM and PVR

 

Year (s) of audit

Total number of cases

Cases with primary disease

Cases analysed

Cases with post-operative success(%)

Cases with BCVA of 6/12 or better (%)

RD

2014

279

257

178

89.9

55

ERM

2012

204

148

148

-

66.7

PVR

2009 to 2013

245

71

71

73.2

73.2

BCVA, best-corrected visual acuity; ERM, epiretinal membrane; PVR, proliferative vitreoretinopathies; RD, retinal detachment.


References

  1. Adelman, R. A., Parnes, A. J., Sipperley, J. O., & Ducournau, D. (2013). Strategy for the management of complex retinal detachments: the European vitreo-retinal society retinal detachment study report 2. Ophthalmology, 120, 1809-1813.

  2. Kinori, M., Moisseiev, E., Shoshany, N., Fabian, I. D., Skatt, A., Barak, A.,…Moisseiev, J. (2011). Comparison of pars plana vitrectomy with and without scleral buckle for the repair of primary rhegmatogenous retinal detachment. American Journal of Ophthalmology, 152, 291-297.

  3. Kobashi, H., Takano, M., Yanagita, T., Shiratani, T., Wang, G., Hoshi, K., & Shimizu, K. *2014). Scleral buckling and pars plana vitrectomy for rhegmatogenous retinal detachment: an analysis of 542 eyes. Current Eye Research, 39, 204-211.

  4. Sanabria, M. R., Fernandez, I., Sala-Puigdollers, A., Rojas, J., Alfaiate, M.,Elizalde, J.,…Pastor, J. C. (2012). A propensity score-matching application: indications and results of adding scleral buckle to vitectomy: The Retina 1 Project: Report 3. European Journal of Ophthalmology, 21, 244-253.

  5. Thompson, J. A., Snead, M. P., Billington, B. M., Barrie, T., Thompson, J. R., & Sparrow, J. M. (2002). National audit of the outcome of primary surgery for rhegmatogenous retinal detachment. II. Clinical outcomes. Eye, 16, 771-777.

Tags:

 
 ;  ;   ;   ;   ;  ;   ;   ; Surgical Retina ;   ;   ;   ;   ;   ;  

Our Care Team

TOP
Using AI to interpret eye images for major health risks
Patient Care

Using AI to interpret eye images for major health risks

04 Jul 2020 | The Straits Times, Tomorrow's Medicine
Telemedicine for Glaucoma patients
Patient Care

Telemedicine for Glaucoma patients

27 May 2020 | Tomorrow's Medicine, The Straits Times