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360-degree intra-operative laser retinopexy for the prevention of retinal re-detachment in patients treated with primary pars plana vitrectomy

  • Retinal Disorders
  • Published:
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Abstract

Purpose

To investigate the effect of 360° intra-operative laser retinopexy (ILR) for the prevention of retinal re-detachment in patients treated with pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD).

Methods

A retrospective single-institution cohort study was performed. Consecutive patients with primary uncomplicated RRD who underwent 23-gauge PPV with gas endotamponade between July 2013 and July 2016 were included in the study (n = 151). Two cohorts were compared: one which received laser retinopexy only around identified tears/holes/lattice zones (Control group, n = 86), and one which received additional 360° intra-operative laser retinopexy (360° ILR group, n = 65).

Results

Retinal re-detachment was seen in 4/65 eyes (6%) in the 360° ILR group compared to 18/86 eyes (21%) in the control group. In multiple logistic regression, the 360° ILR was associated with a 75% reduction in the odds of retinal re-detachment compared to control (OR = 0.248, 95% CI [0.079–0.772], p = 0.016). There was no statistically significant difference in the incidence of epiretinal membrane formation between the two groups.

Conclusions

Intra-operative 360° laser retinopexy during PPV with gas endotamponade resulted in a significant reduction in the odds of postoperative retinal re-detachment in eyes with uncomplicated primary RRD.

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Author notes

  1. Ali Dirani and Fares Antaki contributed equally to this work.

Authors and Affiliations

  1. Department of Ophthalmology, Centre Hospitalier de l’Université de Montréal (CHUM), 1051 rue Sanguinet, Montreal, QC, H2X 0C1, Canada

    Ali Dirani, Fares Antaki, Marc-André Rhéaume, Danny Gauthier, Louis Corriveau, Jean-Daniel Arbour & Karim Hammamji

  2. Centre Universitaire d’Ophtalmologie, Hôpital du Saint-Sacrement, CHU de Québec—Université Laval, Québec, Canada

    Ali Dirani

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  1. Ali Dirani
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Correspondence to Karim Hammamji.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was waivered because of the retrospective design of the study.

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Dirani, A., Antaki, F., Rhéaume, MA. et al. 360-degree intra-operative laser retinopexy for the prevention of retinal re-detachment in patients treated with primary pars plana vitrectomy. Graefes Arch Clin Exp Ophthalmol 258, 249–256 (2020). https://doi.org/10.1007/s00417-019-04534-5

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  • DOI: https://doi.org/10.1007/s00417-019-04534-5

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