Pneumatic Retinopexy Experience and Outcomes of Vitreoretinal Fellows in the United States

Abstract

Objective: To evaluate the outcomes of patients undergoing pneumatic retinopexy (PR) performed by vitreoretinal fellows at 6 academic centers in the United States Design: Retrospective, multicenter, consecutive case series. Participants: 483 patients with primary retinal detachments who underwent PR by 49 vitreoretinal fellows from 6 U.S. training sites between 2002 and 2016.Methods: We reviewed medical records of patients and recorded baseline clinical characteristics (age, sex, baseline visual acuity, lens status, presence of lattice degeneration, presence of vitreous hemorrhage, location of retinal breaks, macular status, and size of detachment), visual and anatomic outcomes at 3-months after PR, as well as training level and PR experience of the fellow at the time of the procedure.Main Outcome Measures: Single-procedure anatomic success and visual acuity at 3-months follow-up, and association with clinical and training-related factors.Results: Vitreoretinal fellows performed a variable number of PR, with a median of 7 cases per fellow (range 1-24). Single-procedure anatomic success was 66.8%, and mean LogMAR visual

Impact of the COVID-19 pandemic on characteristics of retinal detachments: the Canadian experience

“…Furthermore, our single-procedure PnR success rate at 3 months was 71.5 % ( Table 1 ) in this large retrospective study, which is comparable to previously reported rates. 18 , 19 , 20 There is a role for pneumatic retinopexy for patients who meet treatment criteria in the context of limited operating room time affected by the pandemic. 18 …”

The Effect of Supervision and Out-of-Hours Surgery on the Outcomes of Primary Macula-On Retinal Detachments Operated by Vitreoretinal Fellows: A Review of 435 Surgeries

“…In addition, we reported no significant difference in re-detachment rate between surgical grades irrespective of subgroup analysis, including unsupervised and OOH surgery. Only a limited number of studies assessed the surgical outcomes of RRDs operated by VR fellows in the past, reporting similar results to those of experienced specialists, as it was the case in our series [20,[22][23][24][25][26][27].…”

Pars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy

“…About 20% of patients who present with an initial macula on detachment develop a macula off detachment after a failed PnR. 23 , 24 Eyes which fail primary PnR possess 20–25% of recurrent failure rate with secondary treatment (PPV, PnR, or PPV with SB). 23 , 25 Patients who underwent primary PnR and required subsequent procedures typically have worse visual outcomes compared to those with primary success.…”