ADDITIONAL PNEUMATIC RETINOPEXY IN PATIENTS WITH PERSISTENT RETINAL DETACHMENT AFTER SCLERAL BUCKLING.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-05-01 DOI:10.1097/IAE.0000000000004055

Young Hoon Jung, Se Joon Woo, Kwangsic Joo, Min Seok Kim

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Abstract

Purpose: To investigate the efficacy, safety, and indications for additional pneumatic retinopexy (PR) in patients with persistent retinal detachment after scleral buckling.

Methods: This retrospective study included patients who underwent additional PR after scleral buckling for primary rhegmatogenous retinal detachment (n = 78). We defined "inadequate buckle" as retinal detachment persistence because of low buckle height despite accurate buckle placement and "buckle misplacement" as an uncovered tear because of incorrect buckle placement.

Results: The anatomical success rate after additional PR was 52.6%. Development of proliferative vitreoretinopathy Grade B (hazard ratio, 5.73; P < 0.001) and inferior retinal tears (hazard ratio, 2.12; P = 0.040) were significant risk factors for anatomical failure. The most common cause of anatomical failure was proliferative vitreoretinopathy (19 of 37; 51.4%), and epiretinal membrane formation was a common complication after additional PR (22 of 78; 28.2%). The anatomical success rate with additional PR was significantly higher in the inadequate buckle group than in the misplacement group (8 of 9 [88.9%] vs. 1228 [42.9%]; P = 0.023).

Conclusion: Development of proliferative vitreoretinopathy Grade B and inferior retinal tears were significantly associated with anatomical failure after additional PR. Additional PR may benefit patients with superior retinal tears or low buckle height and those without proliferative vitreoretinopathy.

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巩膜扣带术后持续视网膜脱离患者的额外气动视网膜整形术

目的：研究巩膜扣带术（SB）后持续性视网膜脱离（RD）患者追加气压性视网膜整形术（PR）的有效性、安全性和适应症：这项回顾性研究纳入了因原发性流变性视网膜脱落（RD）而在巩膜扣带术（SB）后接受额外视网膜剥离术的患者（78 人）。我们将 "扣带不足 "定义为尽管扣带放置准确，但由于扣带高度过低而导致 RD 持续存在；将 "扣带错位 "定义为由于扣带放置错误而导致未覆盖撕裂：结果：附加 PR 后的解剖成功率为 52.6%。增殖性玻璃体视网膜病变（PVR）发展到 B 级（危险比 [HR]，5.73；P增殖性玻璃体视网膜病变 B 级和视网膜下层撕裂的发生与追加 PR 后的解剖失败有显著相关性。附加 PR 可使视网膜上部撕裂或扣带高度低以及无 PVR 的患者受益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.

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