360-degree intra-operative laser retinopexy for the prevention of retinal re-detachment in patients treated with primary pars plana vitrectomy
| Autor: | Danny Gauthier, Ali Dirani, Marc-André Rhéaume, Fares Antaki, Louis Corriveau, Karim Hammamji, Jean-Daniel Arbour |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pars plana medicine.medical_specialty medicine.medical_treatment Visual Acuity Vitrectomy Retina 030207 dermatology & venereal diseases 03 medical and health sciences Cellular and Molecular Neuroscience chemistry.chemical_compound 0302 clinical medicine Recurrence Ophthalmology Secondary Prevention Humans Medicine Postoperative Period Endotamponade Retrospective Studies Laser Coagulation business.industry Retinal Detachment Retinal detachment Retinal Middle Aged medicine.disease eye diseases Sensory Systems Treatment Outcome medicine.anatomical_structure chemistry 030221 ophthalmology & optometry Tears Female Epiretinal membrane business Follow-Up Studies Cohort study |
| Zdroj: | Graefe's Archive for Clinical and Experimental Ophthalmology. 258:249-256 |
| ISSN: | 1435-702X 0721-832X |
| Popis: | To investigate the effect of 360° intra-operative laser retinopexy (ILR) for the prevention of retinal re-detachment in patients treated with pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD). A retrospective single-institution cohort study was performed. Consecutive patients with primary uncomplicated RRD who underwent 23-gauge PPV with gas endotamponade between July 2013 and July 2016 were included in the study (n = 151). Two cohorts were compared: one which received laser retinopexy only around identified tears/holes/lattice zones (Control group, n = 86), and one which received additional 360° intra-operative laser retinopexy (360° ILR group, n = 65). Retinal re-detachment was seen in 4/65 eyes (6%) in the 360° ILR group compared to 18/86 eyes (21%) in the control group. In multiple logistic regression, the 360° ILR was associated with a 75% reduction in the odds of retinal re-detachment compared to control (OR = 0.248, 95% CI [0.079–0.772], p = 0.016). There was no statistically significant difference in the incidence of epiretinal membrane formation between the two groups. Intra-operative 360° laser retinopexy during PPV with gas endotamponade resulted in a significant reduction in the odds of postoperative retinal re-detachment in eyes with uncomplicated primary RRD. |
| Databáze: | OpenAIRE |
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