Sutureless 25-Gauge Vitrectomy for Rhegmatogenous Retinal Detachment Caused by Superior Breaks Using Air Tamponade

Ruamviboonsuk, Paisan; Limwattanayingyong, Jirawut; Tadarati, Mongkol

doi:10.1097/apo.0000000000000047

Cited by 13 publications

(9 citation statements)

References 26 publications

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“…Previous literature on vitrectomy combined with air tamponade for the treatment of RRD is summarized in Table 3 . 18 – 25 Regarding the anatomical results, the primary reattachment rates of 97.4% and final anatomical success rate of 100% in our study are favorable compared with those reported in other studies (Table 3 ). The single patient who experienced retinal redetachment was successfully treated with a second procedure that included relaxing retinotomy around the retinal break, repeat patching with Healaflow, air tamponade, and free posture.…”

Section: Discussionsupporting

confidence: 70%

Patching Retinal Breaks With Healaflow in 27-Gauge Vitrectomy for the Treatment of Rhegmatogenous Retinal Detachment

Ren

et al. 2019

Retina

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Section: Discussionsupporting

confidence: 70%

Patching Retinal Breaks With Healaflow in 27-Gauge Vitrectomy for the Treatment of Rhegmatogenous Retinal Detachment

Ren

et al. 2019

Retina

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“…Previous studies have suggested that the outcomes of air tamponade used in treating RRD were comparable with those of long-acting gas tamponade, which is consistent with our clinical observations [8, 11, 12]. However, we have noticed that intraocular gas poses some problems.…”

Section: Introductionsupporting

confidence: 91%

“…While air was theoretically present for a shorter time in Group A than in Group B, there were no significant differences in term of primary and final success rates between the two groups ( P = 0.618 and P = 1.000, respectively). The high anatomic success rates indicate that air tamponade is enough to seal superior retinal breaks for the establishment of strong chorioretinal adhesion [7, 11]. The amount of air used in the tamponade did not act as a significant factor on the anatomic success rate of the repair of RRD caused by superior breaks.…”

Section: Discussionmentioning

confidence: 99%

Pars plana vitrectomy with partial tamponade of filtered air in Rhegmatogenous retinal detachment caused by superior retinal breaks

et al. 2017

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BackgroundTo investigate the anatomic and functional outcomes of pars plana vitrectomy (PPV) with partial tamponade of filtered air for rhegmatogenous retinal detachment (RRD) caused by superior retinal breaks.MethodsRetrospective, comparative, consecutive case series study. Patients with RRD caused by superior retinal breaks undergone PPV with partial tamponade (Group A) and whole tamponade (Group B) of filtered air were included. The main outcomes were primary and final success rates, best corrected visual acuity (BCVA), and rate of postoperative cataract surgery.ResultsForty-one patients (41 eyes) were included in Group A and 36 patients (36 eyes) were included in Group B. There were no significant differences in primary or final success rates between Groups A and B (P = 0.618 and P = 1.000, respectively). The patients in Group A experienced quicker postoperative vision improvement (from the Week 1 follow-up) than the patients in Group B (from the Month 3 follow-up). The postoperative cataract surgery rate of Group A (7/31) was lower than that of Group B (13/26) (P = 0.031).ConclusionsPPV with partial tamponade of air is effective in achieving a high anatomic success rate, quicker postoperative vision improvement, and lower rate of postoperative cataract surgery in RRD caused by superior retinal breaks.

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“…AT has been repeatedly demonstrated to have an excellent safety profile in the literature [6,14,16,[18][19][20][21][22][23][24][25][26][27] and Moussa et al demonstrated an excellent safety profile of AT in the management of RRD by DYP at UHCW in a previously published prospective case series [6]. In this case series, AT was performed on patients that fulfilled the Pneumatic Retinopexy vs. Vitrectomy for Retinal Detachment Trial (PIVOT) inclusion criteria of: i) A single retinal break or group of breaks, no larger than one clock hour in detached retina, ii) all breaks in detached retina to lie above the 8 and 4 o'clock meridian and iii) breaks or lattice degeneration in attached retina at any location (even inferior) were allowed [5].…”

Section: Plos Onementioning

confidence: 99%

Environmental effect of air versus gas tamponade in the management of rhegmatogenous retinal detachment VR surgery: A multicentre study of 3,239 patients

et al. 2022

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Purpose To report the potential reduction of carbon emissions by utilising air-tamponade (AT), where possible, instead of fluorinated gases in the management of rhegmatogenous retinal detachment (RRD). We compared the carbon CO2 emissions produced at two large tertiary referral vitreoretinal (VR) centres where RRD are exclusively repaired using fluorinated gases to a tertiary VR mass of each gas used according to the Intergovernmental Panel on Climate Change. Materials and methods Retrospective, continuous, comparative multicentre study of all procedures using fluorinated gases between 01/01/17-31/12/20 at the Manchester Royal Eye Hospital (MREH) and Birmingham and Midland Eye Centre (BMEC), and between 01/01/19-31/12/2020 at the University Hospitals Coventry and Warwickshire (UHCW). Results We report on 3,239 (SF6:1,415 [43.7%], C2F6:1,235 [38.1%], C3F8:541 [16.7%], Air:48 [1.5%]) procedures. UHCW and BMEC utilise single use 30ml and 75ml cannisters, respectively and MREH use multi-use gas cylinders. UHCW used AT in 48 (70%) of RRD repairs. Mean equivalent mass CO2/patient was MREH:115.9kg, BMEC:7.9kg and UHCW:1.9kg. If assuming all centres used 30ml cannisters, the mean equivalent mass CO2/patient was MREH:3.5 kg, BMEC:3.1kg and UHCW:1.9kg. AT enabled UHCW to greatly reduce the need for the most environmentally damaging SF6 gas, leading to lower CO2 emissions by 47.0% and 41.1% compared to MREH and BMEC, respectively. Conclusion We demonstrate how AT vs. the fluorinated gases can reduce in carbon footprint in the management of RRD. Further studies are required to determine the most ‘environment-friendly’ intraocular tamponade without compromising patient outcomes centre that also routinely employs AT in selected RRD cases.

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Sutureless 25-Gauge Vitrectomy for Rhegmatogenous Retinal Detachment Caused by Superior Breaks Using Air Tamponade

Abstract: Selected eyes with primary RRD may gain the benefit of early visual recovery when treated with 25-gauge vitrectomy and air tamponade.

Cited by 13 publications

References 26 publications

Patching Retinal Breaks With Healaflow in 27-Gauge Vitrectomy for the Treatment of Rhegmatogenous Retinal Detachment

Patching Retinal Breaks With Healaflow in 27-Gauge Vitrectomy for the Treatment of Rhegmatogenous Retinal Detachment

Pars plana vitrectomy with partial tamponade of filtered air in Rhegmatogenous retinal detachment caused by superior retinal breaks

Environmental effect of air versus gas tamponade in the management of rhegmatogenous retinal detachment VR surgery: A multicentre study of 3,239 patients

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