PNEUMATIC RETINOPEXY FOR PRIMARY REPAIR OF RHEGMATOGENOUS RETINAL DETACHMENTS. Issue 6 (June 2015)

• Record Type: Journal Article
• Authors: Rahat, Feisal; Nowroozzadeh, Mohammad H.; Rahimi, Mansour; Farvardin, Mohsen; Namati, Ali J.; Sarvestani, Ali S.; Sharifi, Fatemeh
• Is Part Of: Retina. Volume 35:Issue 6(2015:Jun.)
• Publication Date: 2015-06
• Subjects: Retina -- Diseases -- Periodicals; Retinal Diseases; Vitreous Body; 617.735
• DOI: 10.1097/IAE.0000000000000434
• Languages: English
• ISSNs: 0275-004X

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Purpose:</title> <p>To evaluate anatomical and functional outcomes of pneumatic retinopexy (PR) for primary repair of rhegmatogenous retinal detachments and to determine demographic and ocular risk factors for failure of the procedure.</p> </sec> <sec> <title>Design:</title> <p>Retrospective interventional case series.</p> </sec> <sec> <title>Methods:</title> <p>A chart review on 97 eyes of 97 consecutive patients who had undergone PR as the initial procedure for unilateral recent primary retinal detachments with causative break(s) in the superior two-third of the retina. After injection of 0.35 mL to 0.60 mL of sulfur hexafluoride, 6 hours face-down positioning, and the steamroller maneuver, the patient's head position was changed so that the gas could efficiently tamponade the retinal break(s). Pre- and post-gas injection laser photocoagulation of break(s) and 360° peripheral retina was applied.</p> </sec> <sec> <title>Results:</title> <p>Seventy-two male and 25 female patients were included in this study. The single-operation success rate was 82.5%. The pars plana vitrectomy procedure as the second intervention was not adversely affected by the preceding PR. Presence of proliferative vitreoretinopathy (odds ratio: 58.7, 95% confidence interval: 7.8–443.5) and delay between initial symptoms and PR (odds ratio: 1.21 per each additional day, 95% confidence interval: 1.07–1.37) were the only independent predictors for the failure.</p> </sec> <sec> <title>Conclusion:</title> <p>With proper selection of cases, PR is a good surgical option for primary rhegmatogenous retinal detachments with acceptable success rate, minimal discomfort to the patient, and minimal surgical risks.</p> </sec> </abstract>