The Incidence of Rhegmatogenous Retinal Complications in Macular Surgery After Prophylactic Preoperative Laser Retinopexy

Tosi, Gian Marco; Pl, Esposti; Romeo, Napoleone; Marigliani, Davide; Cevenini, Gabriele; Massimo, Patrizio; Nuti, Elisabetta; Esposti, G.; Ripandelli, Guido

doi:10.1097/md.0000000000003283

Cited by 9 publications

(7 citation statements)

References 26 publications

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“…However, the retinal detachment rate after silicone oil removal in the pattern LRP group was similar to those reported in patients who had received intraoperative 360-degree laser retinopexy [4, 9]. …”

Section: Discussionsupporting

confidence: 77%

“…The use of intraoperative 360°-LRP technique may be additionally limited by cases of vitrectomy-related failures and complications, when it is not possible to achieve a complete retinal reattachment intraoperatively. Therefore, when used before the surgical procedure [9] or postponed completely for some time after this procedure, 360°-LRP may provide some advantages over intraoperative 360°-LRP. Moreover, 360°-LRP sometimes cannot be performed (in required cases) during the scleral buckling due to failure to achieve complete retinal reattachment caused by residual subretinal fluid.…”

Section: Introductionmentioning

confidence: 99%

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Navigated Pattern Laser System versus Single-Spot Laser System for Postoperative 360-Degree Laser Retinopexy

Kulikov

Maltsev

Boiko

2016

Journal of Ophthalmology

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Purpose. To compare three 360°-laser retinopexy (LRP) approaches (using navigated pattern laser system, single-spot slit-lamp (SL) laser delivery, and single-spot indirect ophthalmoscope (IO) laser delivery) in regard to procedure duration, procedural pain score, technical difficulties, and the ability to achieve surgical goals. Material and Methods. Eighty-six rhegmatogenous retinal detachment patients (86 eyes) were included in this prospective randomized study. The mean procedural time, procedural pain score (using 4-point Verbal Rating Scale), number of laser burns, and achievement of the surgical goals were compared between three groups (pattern LRP (Navilas® laser system), 36 patients; SL-LRP, 28 patients; and IO-LRP, 22 patients). Results. In the pattern LRP group, the amount of time needed for LRP and pain level were statistically significantly lower, whereas the number of applied laser burns was higher compared to those in the SL-LRP group and in the IO-LRP group. In the pattern LRP, SL-LRP, and IO-LRP groups, surgical goals were fully achieved in 28 (77.8%), 17 (60.7%), and 13 patients (59.1%), respectively (p > 0.05). Conclusion. The navigated pattern approach allows improving the treatment time and pain in postoperative 360° LRP. Moreover, 360° pattern LRP is at least as effective in achieving the surgical goal as the conventional (slit-lamp or indirect ophthalmoscope) approaches with a single-spot laser.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Navigated Pattern Laser System versus Single-Spot Laser System for Postoperative 360-Degree Laser Retinopexy

Kulikov

Maltsev

Boiko

2016

Journal of Ophthalmology

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“…PPLR prior to vitrectomy for vitreoretinal interface disorders has been performed at our tertiary referral center, in an attempt to reduce the incidence of postoperative detachment. 17,18…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9][10][11][12][13][14][15][16] Prophylactic peripheral laser retinopexy (PPLR) prior to PPV for vitreoretinal interface disorders has been performed at our tertiary referral center in an attempt to reduce the incidence of postoperative detachment. 17,18 Following analysis of this series of patients, we observed that PPLR treatment appeared to modify the anatomy of the MH with complete resolution of some holes. Hence, we decided to evaluate changes in the vitreomacular anatomy of MH patients in the time frame-lasting between 20 and 30 days-between the initial visit (PPLR time) and the second visit preceding surgery, comparing patients treated with PPLR at the initial visit to those not treated with PPLR.…”

Section: Introductionmentioning

confidence: 87%

Vitreomacular interface alterations following peripheral laser retinopexy: Interface changes after laser

Tosi

Bacci

Tarantello

et al. 2019

European Journal of Ophthalmology

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Aim: To demonstrate the morphological outcomes of macular hole following prophylactic peripheral laser retinopexy (PPLR). Methods: Our retrospective case-control analysis included 92 eyes, 55 in the laser group and 37 in the non-laser group. Fifty-five patients were subjected to prophylactic peripheral laser retinopexy in preparation for pars plana vitrectomy for macular hole, with and without vitreomacular adhesion (laser group). Before and after prophylactic peripheral laser retinopexy, we evaluated any changes in vitreomacular anatomy by optical coherence tomography. Optical coherence tomography changes were also analyzed in the visits preceding pars plana vitrectomy in 37 macular hole eyes not subjected to prophylactic peripheral laser retinopexy (non-laser group). Results: In the laser group, 7 out of 55 eyes (12.7%) showed macular hole closure (6 out of 18 macular hole eyes with vitreomacular adhesion (33.3%) and 1 out of 37 eyes without vitreomacular adhesion (2.7%)), while no patients showed macular hole closure in the non-laser group (p < 0.05). The mean width of the seven closed macular hole was 191.4 µm (range: 59–282 µm). In all except one of the six macular hole eyes with vitreomacular adhesion, the macular hole closed without vitreomacular adhesion release. In our analysis of the patient subgroup with vitreomacular adhesion, we observed a release of vitreomacular adhesion in 3 out of 18 eyes (16.6%) in the laser group and in 1 out of 13 eyes (7.6%) in the non-laser group (p > 0.05). Conclusion: These findings support a possible beneficial role for prophylactic peripheral laser retinopexy in selected individuals with macular hole.

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“…Недостатками интраоперационной 360°-ЛРП являются увеличение общего времени операции, необходимость склеропрессии для коагуляции труднодоступных периферических (верхних) участков и часто невозможность завершить ЛРП в полном объеме из-за неполного прилегания сетчатки (из-за наличия остаточной субретинальной жидкости). В связи этим ЛРП может быть выполнена до оперативного вмешательства [9] или перенесена на послеоперационный период.…”

Section: Ophthalmology In Russia 2019;16(3):296-303 введениеunclassified

Navigated Pattern Laser System Versus Single-Spot Laser System for Postoperative Laser Retinopexy

Kulikov¹,

Maltsev²,

Boiko

2019

Oftalʹmologiâ

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Purpose: To compare three 360°-laser retinopexy (LRP) approaches (using navigated pattern laser system, single-spot slit-lamp (SL) laser delivery and single-spot indirect-ophthalmoscope (IO) laser delivery) in regard to procedure duration, procedural pain score, technical difficulties and the ability to achieve surgical goals. Patients and Methods. Eighty-six rhegmatogenous retinal detachment patients (86 eyes) were included in this prospective randomized study. Ten patients were underwent scleral buckling procedure, 37 patients were underwent vitrectomy, 7 patients had a combined procedure, and 32 patients had silicone oil tamponade. The mean procedural time, procedural pain score (using 4-point Verbal Rating Scale), number of laser burns, and achievement of the surgical goals were compared between three groups (pattern LRP (NAVILAS laser system), 36 patients; SL-LRP, 28 patients; and IO-LRP, 22 patients). Results. In the pattern LRP group, the time needed for LRP and pain level (12.4 ± 5.4 min and 1.1 ± 0.5 scores, respectively) were statistically significantly lower, whereas the number of applied laser burns (1108.7 ± 345.5) was higher compared to those in the SL-LRP group (21.7 ± 7.6 min, 1.8 ± 0.5 scores, and 714.5 ± 219.8 burns) and in the IO-LRP group (17.0 ± 10.1 min, 1.9 ± 0.5 scores, and 408.1 ± 95.5 burns). In the pattern LRP, SL-LRP, and IO-LRP groups, surgical goals were fully achieved in 28 (77.8 %), 17 (60.7 %), and 13 patients (59.1 %), respectively (p > 0.05). In the pattern LRP, SL-LRP and IO-LRP groups, the mean duration of follow-up after silicone oil removal was 6.6 ± 3.1 months, 8.1 ± 4.5 months and 7.1 ± 4.1 months, respectively (ANOVA3x, p = 0.35), with re-detachment found in 1 case (8.3 %), 2 cases (18.2 %), and 1 case (11.1 %), respectively. Conclusions. The navigated pattern approach allows improving the treatment time and pain in postoperative 360° LRP. Moreover, 360° pattern LRP is at least as effective in achieving the surgical goal as the conventional (slit-lamp or indirect ophthalmoscope) approaches with a single-spot laser.

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The Incidence of Rhegmatogenous Retinal Complications in Macular Surgery After Prophylactic Preoperative Laser Retinopexy

Cited by 9 publications

References 26 publications

Navigated Pattern Laser System versus Single-Spot Laser System for Postoperative 360-Degree Laser Retinopexy

Navigated Pattern Laser System versus Single-Spot Laser System for Postoperative 360-Degree Laser Retinopexy

Vitreomacular interface alterations following peripheral laser retinopexy: Interface changes after laser

Navigated Pattern Laser System Versus Single-Spot Laser System for Postoperative Laser Retinopexy

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