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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-02-2020 | Retinal Detachment | Retinal Disorders

360-degree intra-operative laser retinopexy for the prevention of retinal re-detachment in patients treated with primary pars plana vitrectomy

Authors: Ali Dirani, Fares Antaki, Marc-André Rhéaume, Danny Gauthier, Louis Corriveau, Jean-Daniel Arbour, Karim Hammamji

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 2/2020

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.

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Title: 360-degree intra-operative laser retinopexy for the prevention of retinal re-detachment in patients treated with primary pars plana vitrectomy
Authors: Ali Dirani
Fares Antaki
Marc-André Rhéaume
Danny Gauthier
Louis Corriveau
Jean-Daniel Arbour
Karim Hammamji
Publication date: 01-02-2020
Publisher: Springer Berlin Heidelberg
Keywords: Retinal Detachment
Vitrectomy
Retinopexy
Laser
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 2/2020
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-019-04534-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

360-degree intra-operative laser retinopexy for the prevention of retinal re-detachment in patients treated with primary pars plana vitrectomy

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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