Microscope-assisted pneumatic retinopexy for the management of primary rhegmatogenous retinal detachment
PURPOSE: Outcomes of pneumatic retinopexy (PnR) using surgical microscope, wide-angle viewing system, and chandelier endoilluminator (microscope-assisted pneumatic retinopexy) for primary rhegmatogenous retinal detachment (RRD).
METHODS: Retrospective study. 43 consecutive eyes with RRD undergoing microscope-assisted PnR surgery (MAPR) were analysed. Inclusion criteria comprehend phakic eyes with single retinal break or a group of breaks in detached retina in the same quadrant above 8- and 4-o'clock meridians. Follow-up was at least 6 months.
RESULTS: Of the 43 eyes, a total of 25 (58%) presented preoperatively a single retinal break, 15 (35%) had two retinal breaks in the same quadrant and 3 (7%) presented three or more retinal breaks in the same quadrant. Other retinal breaks not observed preoperatively were discovered intraoperatively in 12 eyes (28%). In 9 (21%) the missed retinal breaks were in the same quadrant as the main diagnosed break(s), while 3 (7%) had missed retinal breaks in a different one. These 3 eyes as no longer adhering to the PnR indication criteria switched intraoperatively to other surgical procedures and were excluded in the reattachment rate results. The total primary reattachment rate with MAPR was achieved in 37 eyes (92.5%). No significant BCVA changes were observed postoperatively.
CONCLUSION: MAPR is an effective and safe surgical option, it allows to work with both hands free and provides an adequate visualization of the retina during the procedure minimizing the risk of missed retinal breaks potentially leading to surgical failure.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2022 |
|---|---|
| Enthalten in: |
European journal of ophthalmology - (2022) vom: 27. Nov., Seite 11206721221142636 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Besozzi, Gianluca [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Chandelier endoilluminator |
|---|
| Anmerkungen: |
Date Revised 16.02.2024 published: Print-Electronic Citation Status Publisher |
|---|
| doi: |
10.1177/11206721221142636 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM349505160 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM349505160 | ||
| 003 | DE-627 | ||
| 005 | 20240216232309.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1177/11206721221142636 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1295.xml |
| 035 | |a (DE-627)NLM349505160 | ||
| 035 | |a (NLM)36437613 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Besozzi, Gianluca |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Microscope-assisted pneumatic retinopexy for the management of primary rhegmatogenous retinal detachment |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 16.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a PURPOSE: Outcomes of pneumatic retinopexy (PnR) using surgical microscope, wide-angle viewing system, and chandelier endoilluminator (microscope-assisted pneumatic retinopexy) for primary rhegmatogenous retinal detachment (RRD) | ||
| 520 | |a METHODS: Retrospective study. 43 consecutive eyes with RRD undergoing microscope-assisted PnR surgery (MAPR) were analysed. Inclusion criteria comprehend phakic eyes with single retinal break or a group of breaks in detached retina in the same quadrant above 8- and 4-o'clock meridians. Follow-up was at least 6 months | ||
| 520 | |a RESULTS: Of the 43 eyes, a total of 25 (58%) presented preoperatively a single retinal break, 15 (35%) had two retinal breaks in the same quadrant and 3 (7%) presented three or more retinal breaks in the same quadrant. Other retinal breaks not observed preoperatively were discovered intraoperatively in 12 eyes (28%). In 9 (21%) the missed retinal breaks were in the same quadrant as the main diagnosed break(s), while 3 (7%) had missed retinal breaks in a different one. These 3 eyes as no longer adhering to the PnR indication criteria switched intraoperatively to other surgical procedures and were excluded in the reattachment rate results. The total primary reattachment rate with MAPR was achieved in 37 eyes (92.5%). No significant BCVA changes were observed postoperatively | ||
| 520 | |a CONCLUSION: MAPR is an effective and safe surgical option, it allows to work with both hands free and provides an adequate visualization of the retina during the procedure minimizing the risk of missed retinal breaks potentially leading to surgical failure | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Chandelier endoilluminator | |
| 650 | 4 | |a PnR | |
| 650 | 4 | |a indirect ophthalmoscope | |
| 650 | 4 | |a noncontact wide-angle viewing system | |
| 650 | 4 | |a pneumatic retinopexy | |
| 650 | 4 | |a retinal break | |
| 650 | 4 | |a rhegmatogenous retinal detachment | |
| 650 | 4 | |a vitreoretinal surgery | |
| 700 | 1 | |a Montericcio, Alessio |e verfasserin |4 aut | |
| 700 | 1 | |a Costa, Maria Carmela |e verfasserin |4 aut | |
| 700 | 1 | |a Nitti, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Parolini, Barbara |e verfasserin |4 aut | |
| 700 | 1 | |a Giancipoli, Ermete |e verfasserin |4 aut | |
| 700 | 1 | |a Greggio, Angelo |e verfasserin |4 aut | |
| 700 | 1 | |a Tozzi, Luigi |e verfasserin |4 aut | |
| 700 | 1 | |a Gius, Irene |e verfasserin |4 aut | |
| 700 | 1 | |a Frisina, Rino |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t European journal of ophthalmology |d 1996 |g (2022) vom: 27. Nov., Seite 11206721221142636 |w (DE-627)NLM012606944 |x 1724-6016 |7 nnns |
| 773 | 1 | 8 | |g year:2022 |g day:27 |g month:11 |g pages:11206721221142636 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1177/11206721221142636 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |j 2022 |b 27 |c 11 |h 11206721221142636 | ||