Abstract
Purpose
To report rates and timing of retreatments, new break formation, and vitreoretinal surgical intervention after initial treatment of retinal breaks, and to identify factors associated with increased rates of additional vitreoretinal interventions.
Methods
Retrospective, consecutive case series of all patients who were diagnosed with a retinal break and underwent laser retinopexy for prophylaxis of retinal detachment at the Bascom Palmer Eye Institute, Miami, FL, from 2013 through 2016 were reviewed. The main outcome measure was if additional laser treatment or vitreoretinal surgical procedure was performed after the initial laser retinopexy.
Results
Additional laser retinopexy was performed in 75 (18.7%) of 401 study eyes over 113 sessions: 58 (51.3%) sessions to retreat the original tear and 55 (48.7%) to treat a new tear. Vitreoretinal surgery for retinal detachment after the initial laser retinopexy was performed in 23 (5.7%) eyes. Risk factors associated with vitreoretinal surgery after initial laser treatment included superotemporal location (OR = 3.62; p = 0.008), vitreous hemorrhage (OR = 2.62; p = 0.017), and multiple breaks (OR = 2.60; p = 0.014).
Conclusions
Additional treatment is often performed after the initial treatment of a retinal break. Although progression to retinal detachment is not common, regular follow-up examinations are recommended.
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Funding
The NIH provided financial support in the form of a core grant and the Research to Prevent Blindness, New York, NY, provided financial support in the form of an unrestricted grant. The sponsors had no role in the design or conduct of this research.
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The authors declare that they have no conflict of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the University of Miami institutional review board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of retrospective study, formal consent is not required.
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Garoon, R.B., Smiddy, W.E. & Flynn, H.W. Treated retinal breaks: clinical course and outcomes. Graefes Arch Clin Exp Ophthalmol 256, 1053–1057 (2018). https://doi.org/10.1007/s00417-018-3950-8
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DOI: https://doi.org/10.1007/s00417-018-3950-8