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Pars Plana Vitrectomy Outcomes for Rhegmatogenous Retinal Detachment Qualifying for Pneumatic Retinopexy

Authors Kurochkin P, Huang N, Petrela R, Rosenberg KI, Brown JS, Oellers P

Received 20 January 2021

Accepted for publication 24 February 2021

Published 19 March 2021 Volume 2021:15 Pages 1207—1214


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 5

Editor who approved publication: Dr Scott Fraser

Philip Kurochkin, Natalie Huang, Redion Petrela, Kevin I Rosenberg, Jamin S Brown, Patrick Oellers

Retina-Vitreous Surgeons of CNY, Liverpool, NY, USA

Correspondence: Patrick Oellers
Retina-Vitreous Surgeons of CNY, 200 Greenfield Pkwy, Liverpool, NY, 13088, USA
Tel +1 315-445-8166
Email [email protected]

Purpose: To investigate real-world outcomes of pars plana vitrectomy (PPV) for eyes with primary rhegmatogenous retinal detachments (RRD) eligible for pneumatic retinopexy (PnR).
Methods: This was a single center retrospective case series looking at consecutive patients with primary RRDs. A database was created on all patients with a primary RRD from 2010 to 2018 based on billing code 67108. Eyes anatomically eligible for PnR were reviewed for preoperative, intraoperative and postoperative characteristics. The main outcome assessed was single surgery anatomical success (SSAS), final anatomical success (FAS), and postoperative LogMAR vision.
Results: A total of 720 eyes (age, 62.9 ± 9.1 years; 61.7% were male) met inclusion criteria for PnR and underwent PPV. SSAS was 94.0% and FAS was 99.9%. Preoperative and final LogMAR vision was 0.853 and 0.293 (P< 0.001) in eyes with SSAS vs 0.714 and 0.648 (P=0.686) in eyes with primary failure. PVR was the most common etiology of primary surgical failure (n=21, 49%). Patients who failed primary repair had a mean of 1.12 additional surgeries with a median time of 45 days between surgeries.
Conclusion: A robust single surgery success rate with good visual outcomes was achieved across 8 years and multiple surgeons utilizing PPV to treat primary RRDs in eyes which anatomically qualified for pneumatic retinopexy in a real-world setting.

Keywords: rhegmatogenous retinal detachment, pars plana vitrectomy, pneumatic retinopexy

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