Anatomic Results and Complications in a Long-Term Follow-Up of Pneumatic Retinopexy Cases

Abecia, E.; Pinilla, Isabel; Oliván, J.M.; Larrosa, José M.; Polo, Vicente; Fm, Honrubia

doi:10.1097/00006982-200002000-00008

Cited by 54 publications

(38 citation statements)

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“…[6][7][8][9][10][11][12][13] In addition, PR was reported to be less efficient in specific conditions, including in nonphakic eyes, in eyes with poor preoperative visual acuity (VA), in large detachments, and in cases with multiple retinal breaks. 7,[13][14][15] Furthermore, a broad range of anatomical success rates of 53% to 100% after a single PR procedure were reported. 12 Together these reservations gave rise to a heated debate between those in favor and those against PR for RRD.…”

Section: Jama Ophthalmol 2013;131(2):166-171mentioning

confidence: 99%

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Pneumatic Retinopexy for the Repair of Primary Rhegmatogenous Retinal Detachment

Fabian¹,

Kinori²,

Efrati³

et al. 2013

JAMA Ophthalmol

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To assess the outcome and risk factors for failure of pneumatic retinopexy (PR) in eyes with primary rhegmatogenous retinal detachment (RRD).Methods: Data of patients who underwent PR for the repair of primary RRD, from January 1, 2000, through June 30, 2011, were retrieved from medical records and retrospectively analyzed. Patients with a follow-up time of less than 4 months were contacted and invited for examination. Patients with less than 2 months of follow-up were excluded. Successful cases (attached retina at 2 months after the PR) were compared with failures. A subgroup analysis was performed comparing successful and failed cases of RRD that were reattached with only 1 additional operation.Results: Two hundred seventy-six eyes (271 patients) underwent PR during the study period, of which 258 eyes (93.5%) were included in the study. Mean (SD) fol-low-up time was 36.1 (39.4) months; only 23 eyes (8.9%) had a follow-up of less than 4 months. Successful reattachment at 2 months was achieved in 171 eyes (66.3%). Sixty-seven eyes (77.0% of the failed cases) were reattached with only 1 additional operation and final anatomical success was achieved in 256 eyes (99.2%). Successful cases had significantly better final vision (P=.002) and fewer postoperative complications (PՅ.026). However, nonsignificant differences were found between the primary failure PR cases that underwent only 1 additional operation and the successful cases (P Ն.073).Conclusions: Pneumatic retinopexy is a good surgical option for primary RRD. Most cases of primary failure are reattached with 1 additional procedure and have excellent final vision.

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Section: Jama Ophthalmol 2013;131(2):166-171mentioning

confidence: 99%

“…Most clinical series on PR have shown higher success rates in phakic RRDs than in pseudophakic RRDs. 5,7,9,11,14 It is believed that the reason is increased incidence of missed breaks, which is the most common reason for failure of PR. 15 However, this is not the case in all published reports.…”

Section: Commentmentioning

confidence: 99%

Pneumatic Retinopexy for the Repair of Primary Rhegmatogenous Retinal Detachment

Fabian¹,

Kinori²,

Efrati³

et al. 2013

JAMA Ophthalmol

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“…Laser retinopexy allows for faster recovery of visual acuity with fewer postoperative complications than cryopexy [ 62 ]. Cryopexy has been signifi cantly associated with long-term failure of pneumatic retinopexy, and laser photocoagulation may be indicated in these cases [ 49 ]. Schepens considered laser photocoagulation the best option for the treatment of posterior retinal breaks [ 63 ].…”

Section: Laser Photocoagulationmentioning

confidence: 99%

“…Following PR, 31 % of eyes showed one or more early complications such as the rare development of cataract due to impaling with the needle, choroidal detachment, endophthalmitis, vitreous hemorrhage, and peripheral subretinal hemorrhage or the much more common issues of delayed reabsorption of subretinal fl uid and gas entrapment in the anterior chamber (between the pars plana and the lens) or in the subconjunctival space, the most common acute complication [ 108 ]. Late onset of these complications was observed in 7 % of eyes [ 49 ]. Most retinal complications develop in the inferior fundus [ 83 -92 ].…”

Section: B Complicationsmentioning

confidence: 99%

V.B.7. Pneumatic Retinopexy

Yee¹,

Sebag²

2014

Vitreous

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“…In contrast to the above reports, new retinal breaks are well described following pneumatic retinopexy. 10,11 In 13 has suggested that a gas bubble expanding behind a detached posterior hyaloid membrane may be particularly likely to cause such breaks. In our patient, a new U-shaped tear 6 clock hours away from the original tear caused a second RD.…”

Section: Commentmentioning

confidence: 99%

New retinal detachment following removal of a scleral explant

Saleh

Gray

2003

Eye

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The indications for removal of a scleral explant include extrusion, migration, infection, excessive height, pain, diplopia and visual disturbance. The frequency of explant removal in published series varies from 1.2 to 24.4%, 1-7 and the retinal redetachment rate following this varies from 3.2 to 47% 2-9 (follow-up ranging from 6 months to 4 years). Reopening of the original tear is the cause of retinal redetachment in most cases. Following explant removal, it is rare for a new retinal tear to open, and when this happens, the break is usually close to the original break. We report a patient who developed a new retinal tear (and retinal detachment) 6 clock hours away from the original retinal tear.Case report

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Anatomic Results and Complications in a Long-Term Follow-Up of Pneumatic Retinopexy Cases

Cited by 54 publications

References 0 publications

Pneumatic Retinopexy for the Repair of Primary Rhegmatogenous Retinal Detachment

Pneumatic Retinopexy for the Repair of Primary Rhegmatogenous Retinal Detachment

V.B.7. Pneumatic Retinopexy

New retinal detachment following removal of a scleral explant

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