Impact of drainage retinotomy on surgical outcomes of retinal detachment: insights from the Japan-Retinal Detachment Registry

Hisashi Fukuyama,Hiroto Ishikawa,Fumi Gomi,Shuichi Yamamoto,Takayuki Baba,Eiju Sato,Masayasu Kitahashi,Tomoaki Tatsumi,Gen Miura,Tomohiro Niizawa,Taiji Sakamoto,Keita Yamakiri,Toshifumi Yamashita,Hiroki Otsuka,Seiji Sameshima,Narimasa Yoshinaga,Shozo Sonoda,Akito Hirakata,Takashi Koto,Makoto Inoue,Kazunari Hirota,Yuji Itoh,Tadashi Orihara,Yoshinobu Emoto,Masahiko Sano,Hiroyuki Takahashi,Ryo Tokizawa,Hidetoshi Yamashita,Koichi Nishitsuka,Yutaka Kaneko,Katsuhiro Nishi,Akitoshi Yoshida,Shinji Ono,Hiroyuki Hirokawa,Kenji Sogawa,Tsuneaki Omae,Akihiro Ishibazawa,Shoji Kishi,Hideo Akiyama,Hidetaka Matsu-Moto,Ryo Mukai,Masahiro Morimoto,Mitsuru Nakazawa,Yukihiko Suzuki,Takashi Kudo,Kobu Adachi,Susumu Ishida,Kousuke Noda,Satoru Kase,Syouhei Mori,Ryo Ando,Michiyuki Saito,Tomohiro Suzuki,Kanji Takahashi,Yoshimi Nagai,Tadashi Nakauchi,Haruiko Yamada,Shuji Kusaka,Daishi Tsujioka,Akitaka Tsujikawa,Kiyoshi Suzuma,Tatsuro Ishibashi,Koh-Hei Sonoda,Yasuhiro Ikeda,Riichiro Kohno,Keijiro Ishikawa,Mineo Kondo,Maki Kozawa,Takashi Kitaoka,Eiko Tsuiki,Yuichiro Ogura,Munenori Yoshida,Hiroshi Morita,Aki Kato,Yoshio Hirano,Kazuhiko Sugitani,Hiroko Terasaki,Takeshi Iwase,Yasuki Ito,Shinji Ueno,Hiroki Kaneko,Norie Nonobe,Taro Kominami,Noriyuki Azuma,Tadashi Yokoi,Hiroyuki Shimada,Hiroyuki Nakashizuka,Takayuki Hattori,Ari Shinojima,Yorihisa Kutagawa,Fumio Shiraga,Yuki Morizane,Shuhei Kimura,Tsunehiko Ikeda,Teruyo Kida,Takaki Sato,Masanori Fukumoto,Kazuyuki Emi,Hiroshi Nakashima,Masahito Ohji,Masashi Kakinoki,Osamu Sawada,Shinobu Takeuchi,Sumiyoshi Tanaka,Tomohiro Iida,Hideki Koizumi,Ichiro Maruko,Taiji Hasegawa,Akiko Kogure,Hiroyuki Iijima,Tomohiro Oshiro,Yasushi Tateno,Wataru Kikushima,Atsushi Sugiyama,Seigo Yoneyama,Kazuaki Kadonosono,Shimpei Sato,Shin Yamane

doi:10.1038/s41598-024-58453-5

Abstract

We investigated the impact of drainage retinotomy on the outcome of pars plana vitrectomy for repair of rhegmatogenous retinal detachment (RRD). This study was a retrospective observational multicenter study. All patients were registered with the Japan-Retinal Detachment Registry. We analyzed 1887 eyes with RRD that had undergone vitrectomy and were observed for 6 months between February 2016 and March 2017. We compared the baseline characteristics and postoperative outcomes between eyes with and without drainage retinectomy. We then performed propensity score matching using preoperative findings as covariates to adjust for relevant confounders. Of 3446 eyes, 1887 met the inclusion criteria. Among them, 559 eyes underwent vitrectomy with drainage retinotomy, and 1328 eyes underwent vitrectomy without drainage retinotomy. After propensity score matching, each group comprised 544 eyes. There was no significant difference between the two groups in BCVA at 6 months after vitrectomy (0.181 vs. 0.166, P = 0.23), the primary anatomical success rate (6.3% vs. 4.4%, P = 0.22), or the rate of secondary surgery for ERM within 6 months (1.5% vs. 1.3%, P = 1.0). Drainage retinectomy does not increase the risk of decreased postoperative BCVA, surgical failure, or secondary surgery for ERM within six months outcomes.

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