{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T16:51:07Z","timestamp":1791305467498,"version":"4.3.1"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the anatomical and functional outcomes of pars plana vitrectomy (PPV) for primary uncomplicated rhegmatogenous retinal detachment (RRD) with superior versus inferior retinal breaks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective study included 675 eyes of 675 patients, of which 476 had exclusively superior breaks and 199 had at least one inferior break. Patients underwent primary PPV with air or gas endotamponade (SF\u2086, C\n                      <jats:sub>2<\/jats:sub>\n                      F\u2086 or C\u2083F\u2088) between January 2015 and March 2025. The primary outcome was single\u2010surgery anatomical success at 6\u2009months. Redetachment\u2010free survival was analysed using Kaplan\u2013Meier estimates and the log\u2010rank test. Secondary analyses included final anatomical success, tamponade choice, concurrent phacoemulsification and postoperative best\u2010corrected visual acuity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Six\u2010month anatomical status was evaluable in 489 eyes. Single\u2010surgery anatomical success (SSAS) was achieved in 90.0% of eyes with superior breaks compared with 78.3% of eyes with inferior breaks (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). After adjustment for symptom duration, lens status, retinal\u2010detachment extent, number of retinal breaks and tamponade agent, inferior\u2010break location remained associated with lower odds of success (adjusted OR 0.46, 95% CI 0.22\u20130.98;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044). At final follow\u2010up, success rates were 91.6% and 83.9%, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). Redetachment\u2010free survival was significantly lower in eyes with inferior breaks (log\u2010rank\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). No significant association between concurrent phacoemulsification and anatomical success was detected, although the combined\u2010surgery subgroups were small. Final visual acuity was similar in macula\u2010on detachments. In macula\u2010off detachments, the statistically significant difference favouring superior breaks was approximately 0.11 logMAR and of limited clinical relevance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The presence of at least one inferior retinal break was associated with lower 6\u2010month anatomical success and reduced redetachment\u2010free survival. The findings regarding concurrent phacoemulsification and tamponade choice should be interpreted cautiously because of limited subgroup sizes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aos.70249","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:54:57Z","timestamp":1791302097000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of retinal break location on surgical outcomes in primary uncomplicated rhegmatogenous retinal detachment: Superior versus inferior breaks"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7561-3093","authenticated-orcid":false,"given":"Ioanna","family":"Dimakopoulou","sequence":"first","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Georgopoulos","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp Toubia","family":"Scholz","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob","family":"Kraiger","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3927-5832","authenticated-orcid":false,"given":"Johannes","family":"Iby","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Hedo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4920-2231","authenticated-orcid":false,"given":"Stefan","family":"Sacu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Mylonas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Optometry Medical University of Vienna  Vienna 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