Abstract | PURPOSE: Knowledge on the utility of prophylactic 360° laser retinopexy before pars plana vitrectomy in the absence of peripheral retinal pathology is limited. This study compares the occurrence of rhegmatogenous events in the setting of small-gauge pars plana vitrectomy with and without prophylactic preoperative laser. METHODS: Our multicenter, retrospective case-control analysis reviewed patients who underwent epiretinal membrane removal or macular hole repair through 23- or 25-gauge pars plana vitrectomy: 205 controls who did not receive prophylactic laser and 176 cases who received preoperative prophylactic laser retinopexy anterior to the equator. Main outcome measures were the rate and characteristics of postoperative retinal tears and detachments. Patients with previous pars plana vitrectomy or significant retinal disease were excluded. RESULTS: CONCLUSION: Preoperative prophylactic peripheral laser retinopexy does not seem to offer an added benefit in the prevention of intraoperative and postoperative rhegmatogenous events.
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Authors | Aakriti Garg, Jonathan S Chang, Gian Marco Tosi, Pierluigi Esposti, Royce W Chen, Jason Horowitz, Quan V Hoang, William M Schiff, Gaetano R Barile, Stanley Chang |
Journal | Retina (Philadelphia, Pa.)
(Retina)
Vol. 38
Issue 9
Pg. 1707-1712
(09 2018)
ISSN: 1539-2864 [Electronic] United States |
PMID | 28737533
(Publication Type: Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
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Topics |
- Aged
- Female
- Follow-Up Studies
- Humans
- Incidence
- Laser Therapy
(methods)
- Male
- New York
(epidemiology)
- Postoperative Complications
(epidemiology, prevention & control)
- Preoperative Care
(methods)
- Prognosis
- Retinal Detachment
(surgery)
- Retinal Perforations
(epidemiology, etiology, prevention & control)
- Retrospective Studies
- Vitrectomy
(adverse effects)
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