Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment

Background: In young adults with rhegmatogenous retinal detachment, pneumatic retinopexy can be a cost-effective and minimally invasive highly effective method in suitable cases. Objectives: To evaluate the role of pneumatic retinopexy in the treatment of young adults with rhegmatogenous retinal det...

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Main Authors: Zeynep İpekli, Seren Pehlivanoğlu, Özgür Artunay
Format: Article
Language:English
Published: SAGE Publishing 2023-10-01
Series:Therapeutic Advances in Ophthalmology
Online Access:https://doi.org/10.1177/25158414231208279
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author Zeynep İpekli
Seren Pehlivanoğlu
Özgür Artunay
author_facet Zeynep İpekli
Seren Pehlivanoğlu
Özgür Artunay
author_sort Zeynep İpekli
collection DOAJ
description Background: In young adults with rhegmatogenous retinal detachment, pneumatic retinopexy can be a cost-effective and minimally invasive highly effective method in suitable cases. Objectives: To evaluate the role of pneumatic retinopexy in the treatment of young adults with rhegmatogenous retinal detachment (RRD) and the factors that may affect the success of pneumatic retinopexy. Design: Retrospective study. Methods: The study included 67 eyes of 67 patients aged between 21 and 40 who underwent pneumatic retinopexy (PR) between January 2015 and June 2021 for primary RRD. We retrospectively analyzed the prognostic factors that may affect the success of PR, such as preoperative age, best corrected visual acuity, tear site, lens condition, and axial length. Results: PR was successful in 61.2% of the patients, whereas 38.8% required secondary surgery. Between the group that had a single surgery (Group 1) and the group that required secondary surgery (Group 2) the tear location, axial length, and volumes of gases used were statistically different ( p  = 0.04, p  < 0.001, and p  = 0.02, respectively). There was a significant difference in visual acuity before and after surgery in the group that was successful with a single surgery (Friedman χ 2  = 40.051, p  < 0.001). There was no significant difference between the two groups in terms of intraocular pressure ( p  > 0.05), and glaucoma was not observed in the postoperative period. Conclusion: Since it is a minimally invasive and cost-effective method that provides rapid visual rehabilitation, it can be considered as first-line therapy in young adults who are suitable for PR.
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spelling doaj.art-e660d44161794f98bbe15b4c6f5908be2023-10-31T05:33:35ZengSAGE PublishingTherapeutic Advances in Ophthalmology2515-84142023-10-011510.1177/25158414231208279Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachmentZeynep İpekliSeren PehlivanoğluÖzgür ArtunayBackground: In young adults with rhegmatogenous retinal detachment, pneumatic retinopexy can be a cost-effective and minimally invasive highly effective method in suitable cases. Objectives: To evaluate the role of pneumatic retinopexy in the treatment of young adults with rhegmatogenous retinal detachment (RRD) and the factors that may affect the success of pneumatic retinopexy. Design: Retrospective study. Methods: The study included 67 eyes of 67 patients aged between 21 and 40 who underwent pneumatic retinopexy (PR) between January 2015 and June 2021 for primary RRD. We retrospectively analyzed the prognostic factors that may affect the success of PR, such as preoperative age, best corrected visual acuity, tear site, lens condition, and axial length. Results: PR was successful in 61.2% of the patients, whereas 38.8% required secondary surgery. Between the group that had a single surgery (Group 1) and the group that required secondary surgery (Group 2) the tear location, axial length, and volumes of gases used were statistically different ( p  = 0.04, p  < 0.001, and p  = 0.02, respectively). There was a significant difference in visual acuity before and after surgery in the group that was successful with a single surgery (Friedman χ 2  = 40.051, p  < 0.001). There was no significant difference between the two groups in terms of intraocular pressure ( p  > 0.05), and glaucoma was not observed in the postoperative period. Conclusion: Since it is a minimally invasive and cost-effective method that provides rapid visual rehabilitation, it can be considered as first-line therapy in young adults who are suitable for PR.https://doi.org/10.1177/25158414231208279
spellingShingle Zeynep İpekli
Seren Pehlivanoğlu
Özgür Artunay
Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment
Therapeutic Advances in Ophthalmology
title Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment
title_full Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment
title_fullStr Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment
title_full_unstemmed Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment
title_short Efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment
title_sort efficacy of pneumatic retinopexy in young adults with rhegmatogenous retinal detachment
url https://doi.org/10.1177/25158414231208279
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AT serenpehlivanoglu efficacyofpneumaticretinopexyinyoungadultswithrhegmatogenousretinaldetachment
AT ozgurartunay efficacyofpneumaticretinopexyinyoungadultswithrhegmatogenousretinaldetachment