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Pneumatic Retinopexy: An Experience of 12 Years at a Tertiary Care Hospital

Purpose The purpose of this study is to retrospectively analyze single-operation success (SOS) rates of pneumatic retinopexy (PR) for the treatment of rhegmatogenous retinal detachment (RRD) and to identify the predictors of treatment outcomes. Methods Sixty-one eyes of 61 patients who underwent PR...

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Autores principales: Owais Arshad, Mohammad, Javed, Khawaja Muhammad Ammar Ali, Javed, Anum, Chatni, Muhammad Hanif, Vayani, Usman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613332/
https://www.ncbi.nlm.nih.gov/pubmed/37905281
http://dx.doi.org/10.7759/cureus.46180
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author Owais Arshad, Mohammad
Javed, Khawaja Muhammad Ammar Ali
Javed, Anum
Chatni, Muhammad Hanif
Vayani, Usman
author_facet Owais Arshad, Mohammad
Javed, Khawaja Muhammad Ammar Ali
Javed, Anum
Chatni, Muhammad Hanif
Vayani, Usman
author_sort Owais Arshad, Mohammad
collection PubMed
description Purpose The purpose of this study is to retrospectively analyze single-operation success (SOS) rates of pneumatic retinopexy (PR) for the treatment of rhegmatogenous retinal detachment (RRD) and to identify the predictors of treatment outcomes. Methods Sixty-one eyes of 61 patients who underwent PR for RRD during a period of 12 years were included in this study. Patient demographics along with pre-treatment clinical characteristics were recorded. Treatment outcomes in terms of best-corrected visual acuity (BCVA) and anatomical characteristics were reported including any post-operative complications. Visual outcomes were compared according to pre-treatment characteristics and between groups of the eyes achieving SOS and those requiring additional surgery. Results SOS was achieved in 37 (61%) eyes. Twenty-four (39%) eyes required one (36%) or two (3%) additional procedures. There was no significant association between pre-treatment characteristics and treatment failure. SOS eyes had significantly better visual outcomes (P=0.002), and so did those with macula-on status (P=0.003). New/missed breaks (9.8%) and proliferative vitreoretinopathy (PVR) (4.9%) were the most common causes of failure. Conclusions We found PR to be a beneficial technique for the treatment of RRD in this cohort. PR remains the least invasive treatment modality, and as a cost-effective technique, it is especially useful in low/middle-income countries such as Pakistan.
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spelling pubmed-106133322023-10-30 Pneumatic Retinopexy: An Experience of 12 Years at a Tertiary Care Hospital Owais Arshad, Mohammad Javed, Khawaja Muhammad Ammar Ali Javed, Anum Chatni, Muhammad Hanif Vayani, Usman Cureus Ophthalmology Purpose The purpose of this study is to retrospectively analyze single-operation success (SOS) rates of pneumatic retinopexy (PR) for the treatment of rhegmatogenous retinal detachment (RRD) and to identify the predictors of treatment outcomes. Methods Sixty-one eyes of 61 patients who underwent PR for RRD during a period of 12 years were included in this study. Patient demographics along with pre-treatment clinical characteristics were recorded. Treatment outcomes in terms of best-corrected visual acuity (BCVA) and anatomical characteristics were reported including any post-operative complications. Visual outcomes were compared according to pre-treatment characteristics and between groups of the eyes achieving SOS and those requiring additional surgery. Results SOS was achieved in 37 (61%) eyes. Twenty-four (39%) eyes required one (36%) or two (3%) additional procedures. There was no significant association between pre-treatment characteristics and treatment failure. SOS eyes had significantly better visual outcomes (P=0.002), and so did those with macula-on status (P=0.003). New/missed breaks (9.8%) and proliferative vitreoretinopathy (PVR) (4.9%) were the most common causes of failure. Conclusions We found PR to be a beneficial technique for the treatment of RRD in this cohort. PR remains the least invasive treatment modality, and as a cost-effective technique, it is especially useful in low/middle-income countries such as Pakistan. Cureus 2023-09-29 /pmc/articles/PMC10613332/ /pubmed/37905281 http://dx.doi.org/10.7759/cureus.46180 Text en Copyright © 2023, Owais Arshad et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Ophthalmology
Owais Arshad, Mohammad
Javed, Khawaja Muhammad Ammar Ali
Javed, Anum
Chatni, Muhammad Hanif
Vayani, Usman
Pneumatic Retinopexy: An Experience of 12 Years at a Tertiary Care Hospital
title Pneumatic Retinopexy: An Experience of 12 Years at a Tertiary Care Hospital
title_full Pneumatic Retinopexy: An Experience of 12 Years at a Tertiary Care Hospital
title_fullStr Pneumatic Retinopexy: An Experience of 12 Years at a Tertiary Care Hospital
title_full_unstemmed Pneumatic Retinopexy: An Experience of 12 Years at a Tertiary Care Hospital
title_short Pneumatic Retinopexy: An Experience of 12 Years at a Tertiary Care Hospital
title_sort pneumatic retinopexy: an experience of 12 years at a tertiary care hospital
topic Ophthalmology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613332/
https://www.ncbi.nlm.nih.gov/pubmed/37905281
http://dx.doi.org/10.7759/cureus.46180
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