Pneumatic Retinopexy for the Repair of Primary Rhegmatogenous Retinal Detachment

Abstract

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.

Cost-Effectiveness of Retinal Detachment Repair

“…These rates were chosen because previously reported studies have a wide range of success. Studies have reported a range from 60–65% primary success, 3,8,16–18 75% primary success, 15,19 and even higher rates, up to 90–95%. 14 …”

Outcomes and Complications of Pneumatic Retinopexy Over a 12-Year Period

“…BCVA ≥ 20/40 was attained in 85% in SOS eyes compared to 71% of eyes requiring additional surgery (P = . 19).…”

Outcomes after Failed Pneumatic Retinopexy for Retinal Detachment

“…This result was confirmed by Mudvari et al (2009). Recently, Fabian et al (2013) found no significant difference in visual acuity outcomes between successful PR cases and those with only one additional operation, but significantly worse outcomes in the cases requiring two or more additional operations. However, their results were not stratified by procedure type.…”