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Predictive Factors of Functional Prognosis in Patients with Rhegmatogenous Retinal Detachment Treated by Pars Plana
George Chereji1, Vlad-Florin Chelaru2,3, Simona Delia Nicoară1,4,5
1Doctoral School of Medicine, "Iuliu Hatieganu" University of Medicine and Pharmacy, 8, V. Babes, Str. 43, 400012 Cluj-Napoca, Romania.
Diagnostics (Basel, Switzerland)
|June 12, 2026
Summary
The duration of symptoms, undergoing phacoemulsification, and preoperative vision significantly impact visual outcomes after pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD). Other factors like PVR did not affect results.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment (RRD) is a critical condition requiring prompt surgical intervention to prevent vision loss.
- Pars plana vitrectomy (PPV) is the gold standard surgical procedure for complex RRD cases, offering high success rates.
Purpose of the Study:
- To identify predictive factors influencing postoperative best-corrected visual acuity (BCVA) in patients undergoing PPV for RRD.
- To assess the impact of various preoperative and intraoperative factors on functional outcomes following RRD repair.
Main Methods:
- Retrospective analysis of 136 eyes from 135 patients who underwent PPV for RRD.
- Utilized a robust fitting algorithm for linear models to evaluate preoperative patient-related factors affecting functional outcomes.
Main Results:
- Symptom duration, phacoemulsification during follow-up, and preoperative BCVA were statistically significant predictors of postoperative BCVA.
- Factors such as lens status, macular status, extent of detachment, number of retinal tears, and proliferative vitreoretinopathy (PVR) did not demonstrate a significant impact on the outcome.
Conclusions:
- Shortening symptom duration and optimizing preoperative visual acuity are crucial for better outcomes after PPV for RRD.
- While certain factors correlate with visual recovery, others like PVR and extent of detachment do not appear to influence the final BCVA in this cohort.