Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment

Eyal Cohen,1,* Amir Zerach,1,* Michael Mimouni,2 Adiel Barak1 1Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 2Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel *These authors contributed equally to thi...

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Autores principales:	Cohen E, Zerach A, Mimouni M, Barak A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/34520d8680ec430eabc29b1b8703e956
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spelling	oai:doaj.org-article:34520d8680ec430eabc29b1b8703e9562021-12-02T07:01:57ZReassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment1177-5483https://doaj.org/article/34520d8680ec430eabc29b1b8703e9562015-11-01T00:00:00Zhttps://www.dovepress.com/reassessment-of-pneumatic-retinopexy-for-primary-treatment-of-rhegmato-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Eyal Cohen,1,* Amir Zerach,1,* Michael Mimouni,2 Adiel Barak1 1Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 2Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel *These authors contributed equally to this work Background: Pneumatic retinopexy (PR) remains a popular technique for the treatment of rhegmatogenous retinal detachment (RRD). Objective: To 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. Methods: This 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. Results: Eighty-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). Conclusion: Careful 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. Keywords: pneumatic retinopexy, rhegmatogenous retinal detachmentCohen EZerach AMimouni MBarak ADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 2033-2037 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Cohen E Zerach A Mimouni M Barak A Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment
description	Eyal Cohen,1,* Amir Zerach,1,* Michael Mimouni,2 Adiel Barak1 1Department of Ophthalmology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 2Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel *These authors contributed equally to this work Background: Pneumatic retinopexy (PR) remains a popular technique for the treatment of rhegmatogenous retinal detachment (RRD). Objective: To 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. Methods: This 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. Results: Eighty-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). Conclusion: Careful 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. Keywords: pneumatic retinopexy, rhegmatogenous retinal detachment
format	article
author	Cohen E Zerach A Mimouni M Barak A
author_facet	Cohen E Zerach A Mimouni M Barak A
author_sort	Cohen E
title	Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment
title_short	Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment
title_full	Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment
title_fullStr	Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment
title_full_unstemmed	Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment
title_sort	reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/34520d8680ec430eabc29b1b8703e956
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Reassessment of pneumatic retinopexy for primary treatment of rhegmatogenous retinal detachment

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