Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment

Abstract

BackgroundPneumatic retinopexy (PR) remains a popular technique for the treatment of rhegmatogenous retinal detachment (RRD).ObjectiveTo evaluate the single operation and final success rate of PR for primary treatment of RRD and to determine factors associated with anatomical and visual outcomes.MethodsThis retrospective case review study analyzed the data of patients who underwent PR for primary treatment of RRD. Patients with a follow-up period of <2 months were excluded. Single operation success was defined as successful retinal reattachment following a single PR throughout 2 months of follow-up.ResultsEighty-four eyes met the inclusion criteria. Single operation success was achieved in 50 eyes (59.5%), while 82 obtained anatomical success at the final follow-up visit (97.6%). An average of 0.702±1.095 additional retinal detachment operations was necessary to achieve final anatomical success in the entire cohort (n=84) and 1.4±1.3 in the single operation failure group (n=34). Both groups (single operation success vs failure) did not differ significantly in any of the preoperative variables. Multivariate analysis of pseudophakic patients (n=22) revealed that 52.65% of the variation in single operation outcome was explained by the number of clock-hours detached (partial R2=43.76%, P=0.001). The final best-corrected visual acuity was significantly better in the single operation success group (logarithm of minimum angle [logMAR] 0.229±0.249 vs logMAR 0.747±0.567, P<0.001).ConclusionCareful patient selection is warranted before performing PR in RRD, particularly in pseudophakic patients with large detachments. Ultimately 60% of the cases will attach after the procedure with the rest requiring on average 1.4 additional procedures to achieve final anatomical success.

Pneumatic retinopexy outcomes as primary or secondary surgical option for treating rhegmatogenous retinal detachment

“…Later, authors have found it to vary between 60% and 82%. [ 7 8 9 10 11 12 ] Table 5 lists the major studies and their results of PR. Our SOSR of 60% is toward the lower side due to the inherent biases in a retrospective study and uncontrolled parameters.…”

Anatomical and functional outcomes of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment

“…The percentage of those preferring PR has remained stable at 25% [14]. In recent years, PR has become a less popular method for treating pseudophakic RD [15,16].…”

“…SB, which conventionally provides target-oriented retinal attachment, is one of two basic methods in the surgical treatment of RD. SB had the highest success rate and was the most frequently used method in the treatment of RD before the advancements in PPV technique [5][6][7][8][9][10][11][12][13][14][15][16][17]. The most significant advantage of PPV is that peripheral vitreous detachment can be visualized more clearly by eliminating vitreous and posterior hyaloid membrane.…”

Relationship of Gender With Laser Retinopexy for Retinal Breaks

“…A retinal tear is a full-thickness break in the retina that, if left untreated, may lead to rhegmatogenous retinal detachment (RRD) [ 1 ]. The majority of retinal tear formation is the result of posterior vitreous detachment [ 2 ].…”