Protective Role of 360° Laser Retinopexy in Patients with Rhegmatogenous Retinal Detachment: a Systematic Review and Meta-analysis
| Autor: | Daniel A. Johnson, Christa Soekamto, Jeong-Hyeon Sohn, Sepehr Bahadorani, Edward R. Chu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pars plana
medicine.medical_specialty Visual acuity medicine.medical_treatment Visual Acuity Vitrectomy Subgroup analysis Cochrane Library Retina 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Ophthalmology medicine Humans business.industry Lasers Retinal detachment Retinal General Medicine medicine.disease eye diseases Meta-analysis medicine.anatomical_structure chemistry 030221 ophthalmology & optometry Original Article medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Korean Journal of Ophthalmology : KJO |
| ISSN: | 2092-9382 1011-8942 |
| Popis: | Purpose Visual impairment from retinal re-detachment could be debilitating. The aim of this review is to evaluate the role of 360° laser retinopexy on success rate of rhegmatogenous retinal detachment (RRD) repair by a meta-analysis study. Methods The PubMed, Scopus, and the Cochrane Library databases were searched comprehensively from the date of database inception to January 2021, evaluating the role of 360° laser retinopexy in visual and anatomical success rate of RRD repair. This review was conducted based on the preferred reporting items for systematic review and meta-analysis (PRISMA) protocols. Results Among 202 articles screened for eligibility, six studies were found to be eligible for inclusion in our final analysis. Our meta-analysis demonstrates that prophylactic treatment with circumferential laser photocoagulation has no significant effect on the initial rate of retinal re-detachment or final best-corrected visual acuity following pars plana vitrectomy repair of RRD. Subgroup analysis of studies (n = 3) with 23-gauge pars plana vitrectomy, however, favors attachment rate in patients undergoing 360° prophylactic laser treatment. Conclusions Three hundred and sixty degree laser retinopexy appears to have favorable outcomes in patients undergoing 23-gauge retinal detachment repair. This protective effect, however, is not apparent with inclusion of 20-gauge vitrectomy studies. |
| Databáze: | OpenAIRE |
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