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Graefe's Archive for Clinical and Experimental Ophthalmology

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Open Access 01-11-2018 | Retinal Disorders

Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3

Authors: Sabine Baumgarten, Petra Schiller, Martin Hellmich, Peter Walter, Hansjürgen Agostini, Bernd Junker, Horst Helbig, Albrecht Lommatzsch, Babac Mazinani, on behalf of the VIPER Study Group

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 11/2018

Abstract

Purpose

To test if an encircling band improves outcomes in vitrectomy for pseudophakic retinal detachment (PRD) with inferior or with multiple (4 or more) breaks.

Methods

Subgroup analysis of a prospective randomized controlled multicenter trial in patients with uncomplicated PRD assigned either to 20 G vitrectomy plus encircling band (group E1), or 20 G vitrectomy without any buckle (group C), or 23/25 G vitrectomy without any buckle (group E2). The primary endpoint was defined as no indication for any retina reattaching procedure during the review period of 6 months. One hundred out of 257 patients were identified with inferior breaks and 63 patients had 4 or more breaks.

Results

In patients with retinal breaks between 5:00 and 7:00, treatment was successful in 77.4% (24/31, treatment arm E1) versus 57.1% (16/28, treatment arm C) (p = 0.301, odds ratio (OR) 1.83, 95% confidence interval (CI) 0.48 to 7.17). In patients with multiple breaks, success rates were 68.2% (15/22, E1) versus. 72.4% (21/29, C, p = 0.46, OR 0.52, CI 0.08–3.65).

Conclusion

Combining an encircling band with vitrectomy in patients with pseudophakic retinal detachment and inferior or multiple breaks does not significantly improve primary anatomical success in comparison to treatment with 20 G or 23/25 G vitrectomy alone.

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Title: Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3
Authors: Sabine Baumgarten
Petra Schiller
Martin Hellmich
Peter Walter
Hansjürgen Agostini
Bernd Junker
Horst Helbig
Albrecht Lommatzsch
Babac Mazinani
on behalf of the VIPER Study Group
Publication date: 01-11-2018
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 11/2018
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-018-4106-6

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Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3

Abstract

Purpose

Methods

Results

Conclusion

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