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Pneumatic Retinopexy for the Repair of Primary Rhegmatogenous Retinal Detachment:
A 10-Year Retrospective Analysis
Fabian ID, Kinori M, Efrati M, et al. Pneumatic retinopexy for the repair of primary rhegmatogenous retinal detachment: a 10-year retrospective analysis. JAMA Ophthalmol. 2013;131(2):166-171.
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Introduction
• Objective:
– To investigate the risk factors for failure and outcomes of pneumatic retinopexy (PR) surgery for the repair of primary rhegmatogenous retinal detachment, with special attention to differences in outcomes between successful cases and failed cases that underwent only 1 additional reattachment operation.
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• Study Design: A retrospective record review.
• Participants: Patients who underwent PR for the repair of primary rhegmatogenous retinal detachment between 2000 and 2011 in a single tertiary center.
• Study Definitions:
– Success - attached retina at 2 months following the PR without additional procedures.
– Primary failure - persistent retinal detachment or redetachment within 2 months from the PR.
– Late redetachment - redetachment after successful reattachment, observed at least 2 months after the PR.
Methods
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• Two hundred seventy-six eyes (271 patients) underwent PR during the study period, of which 258 eyes (93.5%) were included in the study.
• Mean (SD) follow-up time was 36.1 (39.4) months; only 23 eyes (8.9%) had a follow-up of less than 4 months.
• Successful reattachment at 2 months was achieved in 171 eyes (66.3%).
• Sixty-seven eyes (77.0% of the failed cases) were reattached with only 1 additional operation and final anatomical success was achieved in 256 eyes (99.2%).
• Successful cases had significantly better final vision (P = .002) and fewer postoperative complications (P ≤ .026). However, nonsignificant differences were found between the primary failure PR cases that underwent only 1 additional operation and the successful cases (P ≥ .073).
Results
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Results
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Results
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Results
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• Our study demonstrates that with proper selection of cases, PR is a good surgical option for primary rhegmatogenous retinal detachment.
• In two-thirds of cases, the retina will be attached after the procedure. The rest of the cases will require additional reattachment operations, most of which will reattach with only 1 additional operation and will also have good anatomical and functional outcomes.
Comment
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• If you have questions, please contact the corresponding author:
– Ido D. Fabian, MD, Goldschleger Eye Institute, Dr Pinchas Borenstein Talpiot Medical Leadership Program 2012, Sheba Medical Center, Tel Hashomer 52621, Israel ([email protected]).
Conflict of Interest Disclosures
• None reported.
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