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Ophthalmic Surg Lasers Imaging Retina. 2014 Mar-Apr;45(2):132-7. doi: 10.3928/23258160-20140306-06.

Outcomes and complications of pneumatic retinopexy over a 12-year period.

Abstract

BACKGROUND AND OBJECTIVE:

To evaluate anatomic and clinical outcomes of pneumatic retinopexy for treatment of primary retinal detachment.

PATIENTS AND METHODS:

Noncomparative, single-center, consecutive, interventional case series evaluating all patients treated between 2000 and 2012. Patients with less than 1 month of follow-up or coexisting neovascular age-related macular degeneration, uveitis, endophthalmitis, or prior posterior segment surgery were excluded.

RESULTS:

Sixty-three eyes of 63 patients with primary retinal detachment treated with pneumatic retinopexy were included. Median follow-up was 10.3 months. Single-operation success (SOS), defined as anatomic reattachment with pneumatic retinopexy alone, occurred in 40 eyes (63%). The retina was successfully reattached in 21 of the other 23 eyes (91%) with one additional surgery. There was no difference in visual acuity outcomes between SOS and additional surgical intervention (P = .85). New or missed breaks were identified in 19 of 63 eyes (30%). Postoperative subretinal fluid was observed in 22 of 63 eyes (35%) and persisted at last follow-up in two of 63 eyes (3%). At final follow-up, the retina was fully attached in 97% of eyes.

CONCLUSION:

Pneumatic retinopexy remains a reasonably successful option in the management of primary retinal detachment. No difference in best corrected visual acuity outcomes in eyes achieving SOS versus those requiring additional surgery was demonstrated.

Copyright 2014, SLACK Incorporated.

PMID:
24635154
[PubMed - indexed for MEDLINE]
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