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

Autor:	Natalie Huang, Kevin I. Rosenberg, Philip Kurochkin, Patrick Oellers, Jamin S. Brown, Redion Petrela
Rok vydání:	2021
Předmět:	Pars plana medicine.medical_specialty genetic structures medicine.medical_treatment Vitrectomy Single Center Surgical failure 03 medical and health sciences Primary repair 0302 clinical medicine Ophthalmology medicine Original Research pars plana vitrectomy business.industry rhegmatogenous retinal detachment Retinal detachment Clinical Ophthalmology medicine.disease eye diseases medicine.anatomical_structure Median time 030221 ophthalmology & optometry pneumatic retinopexy business Pneumatic retinopexy 030217 neurology & neurosurgery
Zdroj:	Clinical Ophthalmology (Auckland, N.Z.)
ISSN:	1177-5483
DOI:	10.2147/opth.s302413
Popis:	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
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3fc503732babdba985a1455809b26f9a https://doi.org/10.2147/opth.s302413 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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