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

Philip Kurochkin, Natalie Huang, Redion Petrela, Kevin I Rosenberg, Jamin S Brown, Patrick Oellers Retina-Vitreous Surgeons of CNY, Liverpool, NY, USACorrespondence: Patrick OellersRetina-Vitreous Surgeons of CNY, 200 Greenfield Pkwy, Liverpool, NY, 13088, USATel +1 315-445-8166Email poellers@rvscny...

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Autores principales: Kurochkin P, Huang N, Petrela R, Rosenberg KI, Brown JS, Oellers P
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Lenguaje:EN
Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:7088391ea21a4e73ba40fc5d1e30534a2021-12-02T16:31:09ZPars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy1177-5483https://doaj.org/article/7088391ea21a4e73ba40fc5d1e30534a2021-03-01T00:00:00Zhttps://www.dovepress.com/pars-plana-vitrectomy-outcomes-for-rhegmatogenous-retinal-detachment-q-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Philip Kurochkin, Natalie Huang, Redion Petrela, Kevin I Rosenberg, Jamin S Brown, Patrick Oellers Retina-Vitreous Surgeons of CNY, Liverpool, NY, USACorrespondence: Patrick OellersRetina-Vitreous Surgeons of CNY, 200 Greenfield Pkwy, Liverpool, NY, 13088, USATel +1 315-445-8166Email poellers@rvscny.comPurpose: To investigate real-world outcomes of pars plana vitrectomy (PPV) for eyes with primary rhegmatogenous retinal detachments (RRD) eligible for pneumatic retinopexy (PnR).Methods: This was a single center retrospective case series looking at consecutive patients with primary RRDs. A database was created on all patients with a primary RRD from 2010 to 2018 based on billing code 67108. Eyes anatomically eligible for PnR were reviewed for preoperative, intraoperative and postoperative characteristics. The main outcome assessed was single surgery anatomical success (SSAS), final anatomical success (FAS), and postoperative LogMAR vision.Results: A total of 720 eyes (age, 62.9 ± 9.1 years; 61.7% were male) met inclusion criteria for PnR and underwent PPV. SSAS was 94.0% and FAS was 99.9%. Preoperative and final LogMAR vision was 0.853 and 0.293 (P< 0.001) in eyes with SSAS vs 0.714 and 0.648 (P=0.686) in eyes with primary failure. PVR was the most common etiology of primary surgical failure (n=21, 49%). Patients who failed primary repair had a mean of 1.12 additional surgeries with a median time of 45 days between surgeries.Conclusion: A robust single surgery success rate with good visual outcomes was achieved across 8 years and multiple surgeons utilizing PPV to treat primary RRDs in eyes which anatomically qualified for pneumatic retinopexy in a real-world setting.Keywords: rhegmatogenous retinal detachment, pars plana vitrectomy, pneumatic retinopexyKurochkin PHuang NPetrela RRosenberg KIBrown JSOellers PDove Medical Pressarticlerhegmatogenous retinal detachmentpars plana vitrectomypneumatic retinopexyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1207-1214 (2021)
institution DOAJ
collection DOAJ
language EN
topic rhegmatogenous retinal detachment
pars plana vitrectomy
pneumatic retinopexy
Ophthalmology
RE1-994
spellingShingle rhegmatogenous retinal detachment
pars plana vitrectomy
pneumatic retinopexy
Ophthalmology
RE1-994
Kurochkin P
Huang N
Petrela R
Rosenberg KI
Brown JS
Oellers P
Pars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy
description Philip Kurochkin, Natalie Huang, Redion Petrela, Kevin I Rosenberg, Jamin S Brown, Patrick Oellers Retina-Vitreous Surgeons of CNY, Liverpool, NY, USACorrespondence: Patrick OellersRetina-Vitreous Surgeons of CNY, 200 Greenfield Pkwy, Liverpool, NY, 13088, USATel +1 315-445-8166Email poellers@rvscny.comPurpose: To investigate real-world outcomes of pars plana vitrectomy (PPV) for eyes with primary rhegmatogenous retinal detachments (RRD) eligible for pneumatic retinopexy (PnR).Methods: This was a single center retrospective case series looking at consecutive patients with primary RRDs. A database was created on all patients with a primary RRD from 2010 to 2018 based on billing code 67108. Eyes anatomically eligible for PnR were reviewed for preoperative, intraoperative and postoperative characteristics. The main outcome assessed was single surgery anatomical success (SSAS), final anatomical success (FAS), and postoperative LogMAR vision.Results: A total of 720 eyes (age, 62.9 ± 9.1 years; 61.7% were male) met inclusion criteria for PnR and underwent PPV. SSAS was 94.0% and FAS was 99.9%. Preoperative and final LogMAR vision was 0.853 and 0.293 (P< 0.001) in eyes with SSAS vs 0.714 and 0.648 (P=0.686) in eyes with primary failure. PVR was the most common etiology of primary surgical failure (n=21, 49%). Patients who failed primary repair had a mean of 1.12 additional surgeries with a median time of 45 days between surgeries.Conclusion: A robust single surgery success rate with good visual outcomes was achieved across 8 years and multiple surgeons utilizing PPV to treat primary RRDs in eyes which anatomically qualified for pneumatic retinopexy in a real-world setting.Keywords: rhegmatogenous retinal detachment, pars plana vitrectomy, pneumatic retinopexy
format article
author Kurochkin P
Huang N
Petrela R
Rosenberg KI
Brown JS
Oellers P
author_facet Kurochkin P
Huang N
Petrela R
Rosenberg KI
Brown JS
Oellers P
author_sort Kurochkin P
title Pars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy
title_short Pars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy
title_full Pars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy
title_fullStr Pars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy
title_full_unstemmed Pars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy
title_sort pars plana vitrectomy outcomes for rhegmatogenous retinal detachment qualifying for pneumatic retinopexy
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/7088391ea21a4e73ba40fc5d1e30534a
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