Three techniques have similar success rates for treating rhegmatogenous retinal detachment

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December 17, 2021

1 minute read


Source/Disclosures

Source:

You E, et al. Comparison of results in rhegmatogenous retinal detachment with lower retinal ruptures between different surgical techniques. Presented at the meeting of the American Academy of Ophthalmology; November 12-15, 2021; New Orleans.


Disclosures: The authors report no relevant financial information.


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NEW ORLEANS – Pars plana vitrectomy has a similar success rate to scleral loop or pars plana vitrectomy with scleral loop in cases of rhegmatogenous retinal detachment with lower retinal ruptures, according to a presentation here.

“We sought to compare anatomical and visual outcomes between different surgical techniques…for RRD with inferior tears,” Eunice You, medical doctor, and colleagues wrote in a poster presentation at the American Academy of Ophthalmology meeting.

The researchers conducted a retrospective study of 1,516 consecutive patients who underwent surgery for rhegmatogenous retinal detachment (RRD) between 2014 and 2018; 504 eyes that had at least one lower retinal break in the detached retina between 4 and 8 hours were included in the analysis.

The primary endpoint of the study was the single surgery success rate, which was defined as the maintenance of retinal attachment at all follow-up points without the need for additional surgery. The secondary endpoint was final visual acuity.

Patients who underwent pars plana vitrectomy (PPV) had an 89.6% success rate, patients who underwent scleral loop (SB) had an 86.9% success rate and patients who underwent PPV with SB had a success rate of 89.3%.

Male sex (P = 0.027), macula-off state (P = 0.038) and baseline visual acuity (P

“DRR with lower retinal breaks had a similar single-surgery success rate across all three surgical techniques,” the study authors wrote. “This suggests that the primary PPV [has] similar success rates without the potential complications of SB, although other studies suggest improved results with PPV-SB. »

Limitations included the retrospective and single center nature of the study.

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