학술논문
LASER FLARE PHOTOMETRY IN PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT: An Evaluation of 2,487 Cases
Document Type
Academic Journal
Author
Gietzelt, Caroline; Hoerster, Robert; Schiller, Petra; Hermann, Saskia; Kraus, Daria; Holz, Frank G.; Guthoff, Rainer; Agostini, Hansjürgen; Spitzer, Martin S.; Wiedemann, Peter; Lommatzsch, Albrecht; Boden, Karl T.; Bartz-Schmidt, Ulrich; Bemme, Sebastian; Tamm, Svenja; Maier, Mathias; Roider, Johann; Kirchhof, Bernd; Fauser, Sascha; Schaub, Friederike; Altay, Lebriz; Bartz-Schmidt, Karl Ulrich; Callizo, Josep; Dahlke, Claudia; Dimopoulos, Spyridon; Eberwein, Philipp; Ehlken, Christoph; Enders, Philip; Feltgen, Nicolas; Gamulescu, Andreea; Gelisken, Faik; Gutfleisch, Matthias; Haus, Arno; Helbig, Horst; Hermann, Manuel; Januschowski, Kai; Jochmann, Claudia; Kaya, Sema; Kirchhof, Bernd; Krohne, Tim; Lagrèze, Wolf; Lange, Clemens; Lohmann, Chris; Lommatzsch, Albrecht; Macek, Marc Andrej; Maier, Mathias; Märker, David; Mayer, Christian; Meier, Petra; Menzel-Severing, Johannes; Molnar, Fanni; Müther, Philipp; Prahs, Philipp; Purtskhvanidze, Konstantine; Rehak, Matus; Rickmann, Annekatrin; Schick, Tina; Schmitz-Valckenberg, Steffen; Schultheiß, Maximilian; Schweig, Alexandra; Skevas, Christos; Stahl, Andreas; Szurman, Peter; Unterlauft, Jan Darius; Wakili, Philip; Wozar, Fabian
Source
Retina. May 01, 2024 44(5):764-773
Subject
Language
English
ISSN
0275-004X
Abstract
PURPOSE:: Exploratory analysis associated with the prospective, multicenter, randomized PRIVENT trial. To characterize the associations between laser flare photometry and anatomical and epidemiological features of rhegmatogenous retinal detachment (RRD). METHODS:: The authors measured laser flare values of all 3,048 prescreened patients excluding those with comorbidities. A mixed regression analysis evaluated the strength of the influencing factors like age, sex, lens status, and presence and extent of RRD on laser flare. RESULTS:: Rhegmatogenous retinal detachment was more frequent in men (65.8%) than in women (34.2%, P < 0.001) and in right (52%) than in left eyes (48%, P = 0.045). Phakic RRD affected less quadrants and was less likely to be associated with macula-off status than pseudophakic RRD (48.4% vs. 58.0% macula off, 23% vs. 31% ≥3 quadrants, P < 0.001). Laser flare of affected eyes was significantly higher compared with fellow eyes (12.6 ± 15.2 vs. 8.3 ± 7.4 pc/ms, P < 0.001). The factors age, sex, lens status, presence of RRD, and the number of quadrants affected were independent influencing factors on laser flare. R was 0.145 for phakic and 0.094 for pseudophakic eyes. CONCLUSION:: The results indicate that there may be more factors affecting laser flare than previously assumed. This might limit flare as predictive value for PVR and retinal redetachment.