<p>Fortified Barrier Laser On The Vitreous Base In Vitrectomy For Rhegmatogenous Retinal Detachment</p>

Abstract

PurposeTo investigate the efficacy of fortified barrier laser (FBL) on the vitreous base in vitrectomy for rhegmatogenous retinal detachment (RRD).Patients and methodsThis was a retrospective study of patients who underwent vitrectomy for RRD without proliferative vitreoretinopathy. Barrier laser was applied as 3–4 rows surrounding the break at the end of fluid-air exchange. For the FBL, 3–4 rows of laser burn were additionally made about 0.5 clock-hour long adjacent to the break along the posterior border of the vitreous base. The primary outcome was single surgery success rate (SSSR) between two groups: FBL and conventional barrier laser (CBL) groups.ResultsOverall, 118 eyes were included; 50 eyes in the FBL group and 68 eyes in the CBL group. SSSR was 100% (50/50) in the FBL group and 91.2% (62/68) in the CBL group with a significant difference (p=0.038). Four eyes of the recurrent cases in the CBL group were related to reopening of the break. All eyes achieved reattachment, and no differences were found in postoperative visual acuity at 6 months.ConclusionFBL on the vitreous base was efficacious in improving the anatomical success rate of vitrectomy.

Protective Role of 360° Laser Retinopexy in Patients with Rhegmatogenous Retinal Detachment: a Systematic Review and Meta-analysis

“…Development of PVR, failure to locate all the retinal breaks, and creation of new breaks from vitreous base traction remain as major causes of retinal re-detachment [ 7 ]. To overcome the latter issues, application of peripheral retinopexy is proposed for enhanced success of RRD repair, analogous to creation of a second ora serrata [ 24 , 26 ]. Nevertheless, controversy remains regarding the effectiveness of 360° prophylactic laser retinopexy in patients with RRD, for which we have performed the current meta-analysis study.…”

Is 360° Intraoperative Laser Retinopexy After Primary Pars Plana Vitrectomy Worthwhile to Prevent Recurrent Retinal Detachment?

“…However, there are postoperative complications associated with scleral buckling that may lead some surgeons to choose PPV over SB (refractive changes, globe ischemia, buckle extrusion, strabismus, and diplopia, serous choroidal detachment) [9,10] Peripheral retinopexy is proposed as a solution to these issues by creating a "second" ora serrata, but the effectiveness of 360° prophylactic laser retinopexy in patients with RRD remains a topic of controversy. [11,13] Performing 360° endo laser as an extra procedure during PPV for RRD treatment has not been extensively studied. Some reports exist about its use for reducing the retinal detachment rate, but these are mostly related to the treatment of macular diseases [14,15,16] , or before silicon oil removal [17] .…”