Ali Dirani1,2, Fares Antaki1, Marc-André Rhéaume1, Danny Gauthier1, Louis Corriveau1, Jean-Daniel Arbour1, Karim Hammamji3. 1. Department of Ophthalmology, Centre Hospitalier de l'Université de Montréal (CHUM), 1051 rue Sanguinet, Montreal, QC, H2X 0C1, Canada. 2. Centre Universitaire d'Ophtalmologie, Hôpital du Saint-Sacrement, CHU de Québec-Université Laval, Québec, Canada. 3. Department of Ophthalmology, Centre Hospitalier de l'Université de Montréal (CHUM), 1051 rue Sanguinet, Montreal, QC, H2X 0C1, Canada. karim.hammamji@gmail.com.
Abstract
PURPOSE: 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). METHODS: 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). RESULTS: 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. CONCLUSIONS: 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.
PURPOSE: 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). METHODS: 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). RESULTS: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. CONCLUSIONS: 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.
Entities:
Keywords:
Endolaser retinopexy; Pars plana vitrectomy; Rhegmatogenous retinal detachment; Surgical technique
Authors: John J Kearney; J Michael Lahey; Sid Borirakchanyavat; Daniel M Schwartz; Deanna Wilson; Stephen C Tanaka; David Robins Journal: Am J Ophthalmol Date: 2004-01 Impact factor: 5.258
Authors: Robert E Morris; Edward Scott Parma; Nathaniel H Robin; Mathew R Sapp; Matthew H Oltmanns; Matthew R West; Donald C Fletcher; Ronald A Schuchard; Ferenc Kuhn Journal: Clin Ophthalmol Date: 2021-01-06
Authors: Matthew C Peters; Alexander Murray-Douglass; Joseph Park; Sean S H Cheng; Anil K Sharma; Abhishek Sharma; Kevin W Vandeleur; Lawrence R Lee; Thomas P Moloney Journal: Int J Retina Vitreous Date: 2022-04-06