Pneumatic Retinopexy Involving the Use of Intravitreal Air Injection and Laser Photocoagulation for Rhegmatogenous Retinal Detachment in Phakic Eyes
The clinical efficacy of pneumatic retinopexy (PR) using intravitreal pure air injection and laser photocoagulation for rhegmatogenous retinal detachment (RRD) remains unknown. Thirty-nine consecutive patients with RRD (39 eyes) were included in this prospective case series. All patients underwent t...
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MDPI AG
2023-02-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/13/2/328 |
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| author | Tiepei Zhu Zhenyang Xiang Qinzhu Huang Gaochun Li Shenchao Guo Enhui Li |
| author_facet | Tiepei Zhu Zhenyang Xiang Qinzhu Huang Gaochun Li Shenchao Guo Enhui Li |
| author_sort | Tiepei Zhu |
| collection | DOAJ |
| description | The clinical efficacy of pneumatic retinopexy (PR) using intravitreal pure air injection and laser photocoagulation for rhegmatogenous retinal detachment (RRD) remains unknown. Thirty-nine consecutive patients with RRD (39 eyes) were included in this prospective case series. All patients underwent two-step PR surgery containing pure air intravitreal injection and laser photocoagulation retinopexy during hospitalization. The main outcomes were best-corrected visual acuity (BCVA) and primary anatomic success rates after PR treatment. The mean follow-up was 18.3 ± 9.7 months, ranging from 6 to 37 months. The primary anatomic success rate was 89.7% (35/39) after PR treatment. Final reattachment of the retina was achieved in 100% of cases. Macular epiretinal membrane was developed in two patients (5.7%) among successful PR cases during the follow-up. The mean logMAR BCVA value was significantly improved from 0.94 ± 0.69 before surgery to 0.39 ± 0.41 after surgery. The average central retinal thickness was significantly thinner in the RRD eyes of macula-off patients (206.8 ± 56.13 μm) when compared with the fellow eyes (234.6 ± 48.4 μm) at the last follow-up (<i>p</i> = 0.005). This study concluded that an inpatient PR procedure with pure air injection and laser photocoagulation is a safe and effective approach to treating patients with RRD, who may achieve a high single-operation success rate and good visual acuity recovery. |
| first_indexed | 2024-03-11T08:34:26Z |
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| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-11T08:34:26Z |
| publishDate | 2023-02-01 |
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| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-4ab79e268eb04e43a7d3712bea47448a2023-11-16T21:33:53ZengMDPI AGJournal of Personalized Medicine2075-44262023-02-0113232810.3390/jpm13020328Pneumatic Retinopexy Involving the Use of Intravitreal Air Injection and Laser Photocoagulation for Rhegmatogenous Retinal Detachment in Phakic EyesTiepei Zhu0Zhenyang Xiang1Qinzhu Huang2Gaochun Li3Shenchao Guo4Enhui Li5Eye Center, Second Affiliated Hospital of Medical College, Zhejiang University, Hangzhou 310058, ChinaDepartment of Ophthalmology, Taizhou Hospital of Zhejiang Province, Taizhou 318000, ChinaDepartment of Ophthalmology, Taizhou Hospital of Zhejiang Province, Taizhou 318000, ChinaDepartment of Ophthalmology, Taizhou Hospital of Zhejiang Province, Taizhou 318000, ChinaDepartment of Ophthalmology, Taizhou Hospital of Zhejiang Province, Taizhou 318000, ChinaDepartment of Ophthalmology, Taizhou Hospital of Zhejiang Province, Taizhou 318000, ChinaThe clinical efficacy of pneumatic retinopexy (PR) using intravitreal pure air injection and laser photocoagulation for rhegmatogenous retinal detachment (RRD) remains unknown. Thirty-nine consecutive patients with RRD (39 eyes) were included in this prospective case series. All patients underwent two-step PR surgery containing pure air intravitreal injection and laser photocoagulation retinopexy during hospitalization. The main outcomes were best-corrected visual acuity (BCVA) and primary anatomic success rates after PR treatment. The mean follow-up was 18.3 ± 9.7 months, ranging from 6 to 37 months. The primary anatomic success rate was 89.7% (35/39) after PR treatment. Final reattachment of the retina was achieved in 100% of cases. Macular epiretinal membrane was developed in two patients (5.7%) among successful PR cases during the follow-up. The mean logMAR BCVA value was significantly improved from 0.94 ± 0.69 before surgery to 0.39 ± 0.41 after surgery. The average central retinal thickness was significantly thinner in the RRD eyes of macula-off patients (206.8 ± 56.13 μm) when compared with the fellow eyes (234.6 ± 48.4 μm) at the last follow-up (<i>p</i> = 0.005). This study concluded that an inpatient PR procedure with pure air injection and laser photocoagulation is a safe and effective approach to treating patients with RRD, who may achieve a high single-operation success rate and good visual acuity recovery.https://www.mdpi.com/2075-4426/13/2/328retinal detachmentpneumatic retinopexyintravitreal injectionlaser photocoagulationretinal thickness |
| spellingShingle | Tiepei Zhu Zhenyang Xiang Qinzhu Huang Gaochun Li Shenchao Guo Enhui Li Pneumatic Retinopexy Involving the Use of Intravitreal Air Injection and Laser Photocoagulation for Rhegmatogenous Retinal Detachment in Phakic Eyes Journal of Personalized Medicine retinal detachment pneumatic retinopexy intravitreal injection laser photocoagulation retinal thickness |
| title | Pneumatic Retinopexy Involving the Use of Intravitreal Air Injection and Laser Photocoagulation for Rhegmatogenous Retinal Detachment in Phakic Eyes |
| title_full | Pneumatic Retinopexy Involving the Use of Intravitreal Air Injection and Laser Photocoagulation for Rhegmatogenous Retinal Detachment in Phakic Eyes |
| title_fullStr | Pneumatic Retinopexy Involving the Use of Intravitreal Air Injection and Laser Photocoagulation for Rhegmatogenous Retinal Detachment in Phakic Eyes |
| title_full_unstemmed | Pneumatic Retinopexy Involving the Use of Intravitreal Air Injection and Laser Photocoagulation for Rhegmatogenous Retinal Detachment in Phakic Eyes |
| title_short | Pneumatic Retinopexy Involving the Use of Intravitreal Air Injection and Laser Photocoagulation for Rhegmatogenous Retinal Detachment in Phakic Eyes |
| title_sort | pneumatic retinopexy involving the use of intravitreal air injection and laser photocoagulation for rhegmatogenous retinal detachment in phakic eyes |
| topic | retinal detachment pneumatic retinopexy intravitreal injection laser photocoagulation retinal thickness |
| url | https://www.mdpi.com/2075-4426/13/2/328 |
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