Patient satisfaction and vision improvement after multiple surgery for recurrent retinal detachment

Area of Science:

• Ophthalmology
• Retinal Surgery
• Patient-Reported Outcomes

Background:

• Recurrent retinal detachment (RRD) with proliferative vitreoretinopathy (PVR) often requires multiple surgical interventions.
• Assessing patient satisfaction and functional status is crucial for evaluating treatment outcomes in complex cases.

Purpose of the Study:

• To evaluate patient satisfaction and functional status following multiple surgeries for RRD with PVR grade C.
• To correlate patient-reported outcomes with objective measures like visual acuity (VA) and anatomic success.

Main Methods:

• Retrospective review of patients undergoing pars plana vitrectomy (PPV) for RRD with PVR grade C.
• Standardized telephone interviews assessing visual performance and satisfaction.
• Statistical analysis including Wilcoxon signed-rank test, Mann-Whitney U test, and Spearman correlation.

Main Results:

• 62 patients with an average of 2.9 surgeries and 1.45 recurrences were analyzed.
• 40/62 eyes achieved better than 5/400 vision; 14/62 better than 20/200.
• 84% found the operation worthwhile, 61% believed VA improved, and significant subjective improvements were noted in daily activities.

Conclusions:

• High patient satisfaction and subjective functional improvement were observed despite challenging surgical outcomes.
• Accurate and comprehensive patient information is critical for managing expectations.
• Factors beyond VA, like visual field and contrast sensitivity, may influence perceived visual function.