Pneumatic retinopexy versus scleral buckling for the management of primary rhegmatogenous retinal detachment
BACKGROUND AND OBJECTIVE: To compare pneumatic retinopexy (PnR) and scleral buckling (SB) for repair of primary rhegmatogenous retinal detachment.
MATERIALS AND METHODS: Single-centre retrospective analysis of patients undergoing PnR and SB. Inclusion criteria comprehend phakic patients with a single retinal break or a group of breaks in detached retina in the same quadrant above the 8- and 4-o'clock meridians. A total of 184 patients were included, respectively 106 underwent PnR and 78 SB. Follow-up time was 6 months.
RESULTS: Final visual outcome did not differ significantly between the two procedures (P = 0.12). Single-procedure reattachment rate was significantly higher in SB (94%) than in PnR (68%) (P < 0001). Anatomical success rate was not influenced by macular involving. Reattachment rate in repeated PnR was 95% and in these patients visual outcome did not statistically differ compared to those reattached with first attempt (P = 0.196). Total reattachment rate including repeated procedures was 87% in PnR group and 94% in SB group, the difference was not significant (P = 0.06).
CONCLUSION: SB has a higher single reattachment rate than PnR. However, final visual outcomes of both procedures are comparable. In selected cases, PnR can be repeated with a high successful rate.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
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| Enthalten in: |
European journal of ophthalmology - 33(2023), 1 vom: 28. Jan., Seite 498-505 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Chizzolini, Marzio [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 10.01.2023 Date Revised 11.01.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/11206721221095041 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM339985100 |
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| 100 | 1 | |a Chizzolini, Marzio |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Pneumatic retinopexy versus scleral buckling for the management of primary rhegmatogenous retinal detachment |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Completed 10.01.2023 | ||
| 500 | |a Date Revised 11.01.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND AND OBJECTIVE: To compare pneumatic retinopexy (PnR) and scleral buckling (SB) for repair of primary rhegmatogenous retinal detachment | ||
| 520 | |a MATERIALS AND METHODS: Single-centre retrospective analysis of patients undergoing PnR and SB. Inclusion criteria comprehend phakic patients with a single retinal break or a group of breaks in detached retina in the same quadrant above the 8- and 4-o'clock meridians. A total of 184 patients were included, respectively 106 underwent PnR and 78 SB. Follow-up time was 6 months | ||
| 520 | |a RESULTS: Final visual outcome did not differ significantly between the two procedures (P = 0.12). Single-procedure reattachment rate was significantly higher in SB (94%) than in PnR (68%) (P < 0001). Anatomical success rate was not influenced by macular involving. Reattachment rate in repeated PnR was 95% and in these patients visual outcome did not statistically differ compared to those reattached with first attempt (P = 0.196). Total reattachment rate including repeated procedures was 87% in PnR group and 94% in SB group, the difference was not significant (P = 0.06) | ||
| 520 | |a CONCLUSION: SB has a higher single reattachment rate than PnR. However, final visual outcomes of both procedures are comparable. In selected cases, PnR can be repeated with a high successful rate | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Scleral buckle | |
| 650 | 4 | |a pneumatic retinopexy | |
| 650 | 4 | |a reattachment rate | |
| 650 | 4 | |a repeated pneumatic retinopexy | |
| 650 | 4 | |a rhegmatogenous retinal detachment | |
| 650 | 4 | |a vitreoretinal surgery | |
| 700 | 1 | |a Martini, Ferdinando |e verfasserin |4 aut | |
| 700 | 1 | |a Melis, Riccardo |e verfasserin |4 aut | |
| 700 | 1 | |a Montericcio, Alessio |e verfasserin |4 aut | |
| 700 | 1 | |a Raimondi, Raffaele |e verfasserin |4 aut | |
| 700 | 1 | |a Allegrini, Davide |e verfasserin |4 aut | |
| 700 | 1 | |a Romano, Mario R |e verfasserin |4 aut | |
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