Long-term results of office-based pneumatic retinopexy using pure air

Abstract

Office-based pure-air PR achieves acceptable reattachment rates with good visual outcomes and long-term efficacy. Eliminating the need for expansile gases makes this approach more widely available, decreases recovery time and lowers healthcare costs.

V.B.7. Pneumatic Retinopexy

“…A fi nal reattachment rate of 100 % was eventually achieved when failed cases underwent PPV or SB [ 18 ]. These success rates are comparable to the rates of PR using expanding gases.…”

“…These success rates are comparable to the rates of PR using expanding gases. Eighty-six percent of patients treated with pure air PR had the same or better visual acuity postoperatively, and nearly two-thirds attained visual acuity ≥20/40 [ 18 ] (Figure V.B.7-4 ). In this study, no patients [ 18 ] developed postoperative PVR and only 1/77 (1.3 %) developed macular pucker.…”

“…Eighty-six percent of patients treated with pure air PR had the same or better visual acuity postoperatively, and nearly two-thirds attained visual acuity ≥20/40 [ 18 ] (Figure V.B.7-4 ). In this study, no patients [ 18 ] developed postoperative PVR and only 1/77 (1.3 %) developed macular pucker. This is lower than previous studies which showed that as many as 10 % of patients developed PVR and 3 % macular pucker after PR with expanding gases [ 1 ].…”

“…The recovery period is also greatly reduced, and accessibility to pure air is universal as compared to expansile gases [ 20 ]. Long-term effi cacy has also been shown to be comparable to other options for RD management [ 18 ]. Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser augmented PR has also had good results with laser disruption of vitreous bands inducing traction via vitreoretinal adhesion [ 82 ].…”

“…In recent years, PR has gained popularity especially among young surgeons [ 14 -17 ]. Proven long-term effi cacy [ 18 ], expanded indications, and novel techniques have broadened the usefulness of PR for retinal detachments.…”