Posterior Retinotomy vs Perfluorocarbon Liquid to Aid Drainage of                     Subretinal Fluid During Primary Rhegmatogenous Retinal Detachment Repair                     (PRO Study Report No. 10)

Vo, Loi V.; Ryan, Edwin H.; Ryan, Claire; Shah, Gaurav K.; Gupta, Omesh P.; Capone, Antonio; Eliott, Dean; Yonekawa, Yoshihiro; Bhavsar, Abdhish R.; Emerson, Maxwell; Jones, Jacob M.; Emerson, Geoffrey G.

doi:10.1177/2474126420941372

Cited by 8 publications

(9 citation statements)

References 20 publications

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Section: Introductionmentioning

confidence: 69%

“…There were no differences in visual acuity, SSSR, or postoperative ERM formation between the two cohorts. The PFCL cohort, though, did have a higher rate of subsequent vitreoretinal surgeries, possibly because of a higher rate of retained subretinal PFCL in this cohort [15]. Moving to preoperative characteristics, the PRO authors reported in the largest series to date on the outcomes of octogenarians or nonagenarians undergoing primary RRD repair.…”

mentioning

confidence: 84%

“…10 Compare the use of a drainage retinotomy or PFCL There were no visual or anatomic differences between the cohorts; however, the use of PFCL was significantly associated with a higher number of postoperative vitreoretinal surgeries following RRD repair, thought to be because of a higher rate of retained PFCL [15].…”

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confidence: 96%

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Primary Retinal Detachment Outcomes Study: summary of reports number 1 to number 18

Starr

Ryan²,

Yonekawa³

2023

Current Opinion in Ophthalmology

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Purpose of reviewTo highlight the recent work published from the Primary Retinal Detachment Outcomes (PRO) Study Group. Recent findingsThe PRO database was a large dataset made up of patients with primary rhegmatogenous retinal detachments (RRD) who had surgical repair during 2015. The database was constituted of nearly 3000 eyes from 6 centers across the United States and included 61 vitreoretinal surgeons. Nearly 250 metrics were collected for each patient, creating one of the richest datasets of patients with primary rhegmatogenous detachments and their outcomes. The importance of scleral buckling was demonstrated, particularly for phakic eyes, elderly patients, and those with inferior breaks. 3608 laser may result in poorer outcomes. Cystoid macular edema was common, and risk factors were identified. We also found risk factors for vision loss in eyes presenting with good vision. A PRO Score was devised, to predict outcomes based on presenting clinical characteristics. We also identified characteristics of surgeons with the highest single surgery success rates. Overall, there were no major outcome differences between viewing systems, gauges, buckles sutured vs. scleral tunnels, drainage method, and techniques to address proliferative vitreoretinopathy. All incisional techniques were found to be very cost-effective treatment modalities. SummaryNumerous studies resulted from the PRO database that significantly added to the literature regarding the repair of primary RRDs in the current era of vitreoretinal surgery.

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Section: Introductionmentioning

confidence: 69%

mentioning

confidence: 84%

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Primary Retinal Detachment Outcomes Study: summary of reports number 1 to number 18

Starr

Ryan²,

Yonekawa³

2023

Current Opinion in Ophthalmology

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“…A large multicenter retrospective study involving 919 eyes demonstrated that postoperative outcomes were comparable between the two procedures, with a slightly greater number of subsequent procedures needed in the PFCL cohort. 32 Another small RCT with 52 eyes revealed similar final BCVA and OCT parameters, including foveal contour, retinal layers, central macular thickness, and ERM formation. However, postoperative metamorphopsia was less common in the PFCL group.…”

Section: Evidence-based Rationalementioning

confidence: 89%

Guidelines and treatment patterns for primary rhegmatogenous retinal detachments: Expert consensus and survey in Taiwan Retina Society

Huang,

Yang,

Chen

et al. 2023

Journal of the Chinese Medical Association

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Rhegmatogenous retinal detachment (RRD) is a significant cause of vision loss and requires appropriate surgical intervention. There are several approaches available, including observation, laser demarcation, pneumatic retinopexy (PR), scleral buckling (SB), and pars plana vitrectomy (PPV), which are chosen based on patient condition, surgeon experience, and national health insurance policies. Despite the various options, there is still no consensus on the optimal intervention. To address this, the Taiwan Retina Society assembled an expert committee with 11 experienced retina specialists to review the current evidence and develop a guideline with seven recommendations for managing RRD patients. Additionally, a survey was conducted with six questions to assess treatment patterns in Taiwan, which included input from the expert committee and an open poll at the 2023 Congress of the Taiwan Retina Society. This report provides a comprehensive summary of the current knowledge and expert consensus on the treatment of RRD, discussing the characteristics of current approaches and providing an overview of current treatment patterns in Taiwan. These findings aim to provide ophthalmologists with the best possible treatment for RRD.

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“…Vo et al also reported on whether PFCL use affected the postoperative results in 159 cases of PFCL using a large database. They also found no significant differences in the final BCVA, re-attachment rates, anatomic success, presence of postoperative epiretinal membrane, and macular pathologies [15]. All of these reports showed that the re-attachment rates with PFCL were good but not significantly better than the non-use of PFCL and showed its advantages for RRD operations.…”

Section: Discussionmentioning

confidence: 99%

Effects of Perfluorocarbon Use during Rhegmatogenous Retinal Detachment Surgery on Postoperative Outcomes

Sugimoto¹,

Kozawa²,

Matsui³

et al. 2023

Ophthalmologica

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Introduction: The aim of this study was to determine whether the use of perfluorocarbon liquid (PFCL) affects the rate of retinal re-attachments after an initial attachment by vitrectomy in eyes with rhegmatogenous retinal detachment (RRD). Methods: This was a retrospective, observational, multicenter study of 3,446 eyes registered in the Japanese vitreoretinal surgery treatment information database. Of these, 2,648 eyes had undergone vitrectomy as the first surgery for RRD. The re-attachment rates after the primary vitrectomy with or without PFCL were evaluated. In addition, the significance of factors affecting the re-detachments was determined by univariate and multivariate analyses. The measured outcomes were the rates of re-attachments after the primary vitrectomy with or without the use of PFCL. Results: A total of 2,362 eyes in the database were analyzed: 325 had and 2,037 did not have PFCL injected into the vitreous cavity during the vitrectomy. The rate of re-attachments was 91.5% in the PFCL group and 93.2% in the non-PFCL group (p = 0.46, χ2 test). Although there were several risk factors associated with the re-detachments in eyes without PFCL (p < 0.05, Welch’s t tests, and Fisher’s exact tests), they were not associated in eyes with PFCL use. However, multivariate analyses showed that there was no significant association between the use and the non-use of PFCL in the rate of re-detachments (β = −0.08, p = 0.46). Conclusions: The use of PFCL during the initial vitrectomy for RRD does not affect the rate of re-attachments.

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Posterior Retinotomy vs Perfluorocarbon Liquid to Aid Drainage of Subretinal Fluid During Primary Rhegmatogenous Retinal Detachment Repair (PRO Study Report No. 10)

Cited by 8 publications

References 20 publications

Primary Retinal Detachment Outcomes Study: summary of reports number 1 to number 18

Primary Retinal Detachment Outcomes Study: summary of reports number 1 to number 18

Guidelines and treatment patterns for primary rhegmatogenous retinal detachments: Expert consensus and survey in Taiwan Retina Society

Effects of Perfluorocarbon Use during Rhegmatogenous Retinal Detachment Surgery on Postoperative Outcomes

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