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Philip Kurochkin, Natalie Huang, Redion Petrela, Kevin I Rosenberg, Jamin s Brown, Patrick Oellers; Outcomes of Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachments Anatomically Eligible for Pneumatic Retinopexy. Invest. Ophthalmol. Vis. Sci. 2020;61(7):4403.
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To investigate anatomical and functional outcomes of patients with rhegmatogenous retinal detachment (RRD) anatomically eligible for pneumatic retinopexy (PR) per standard criteria who underwent pars plana vitrectomy (PPV).
Retrospective chart review of patients who underwent PPV (CPT 67108) for RRD between 2015 – 2018 at a single practice with multiple surgeons. Charts were reviewed for anatomy of RRD, demographics, lens status, surgical data as well as anatomical and visual outcomes. Patients anatomically eligible for PR (single retinal break or a group of breaks in detached retina within 1 clock hour above the 8- and 4-o'clock meridians, with any number, location and size of retinal breaks or lattice degeneration in attached retina) were then further reviewed and analyzed. Primary outcomes were proportion of patients with single surgery success and final anatomical success and secondary outcome was proportion of patients with visual acuity outcome of 20/40 or better.
1061 total patients were reviewed and 515 met eligibility criteria for PR. Of those, single surgery success was 92.04% and final anatomical success was 100%. Surgical success rates did not differ between lens status. Favorable visual acuity of 20/40 or better was achieved in 70.29% in all patients, higher in pseudophakic versus phakic patients (78.77% versus 64.45%) and macula on versus macula off patients (80.59% versus 55.24%).
This is the first study that investigated outcomes of PPV in a large cohort of patients with retinal detachment anatomically eligible for PR and demonstrated favorable single surgery and final anatomical success rates. Further studies are needed to determine how these results would compare to PR in a real-world setting with large number of patients.
This is a 2020 ARVO Annual Meeting abstract.
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