Abstract | PURPOSE: 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. DESIGN: Retrospective interventional case series. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
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Authors | Feisal Rahat, Mohammad H Nowroozzadeh, Mansour Rahimi, Mohsen Farvardin, Ali J Namati, Ali S Sarvestani, Fatemeh Sharifi |
Journal | Retina (Philadelphia, Pa.)
(Retina)
Vol. 35
Issue 6
Pg. 1247-55
(Jun 2015)
ISSN: 1539-2864 [Electronic] United States |
PMID | 25763464
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Endotamponade
- Female
- Humans
- Male
- Middle Aged
- Minimally Invasive Surgical Procedures
- Ophthalmologic Surgical Procedures
- Prone Position
- Retinal Detachment
(physiopathology, surgery)
- Retrospective Studies
- Risk Factors
- Sulfur Hexafluoride
(administration & dosage)
- Treatment Failure
- Visual Acuity
(physiology)
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