PNEUMATIC RETINOPEXY FOR RETINAL DETACHMENT IN SOUTH INDIAN POPULATION
Abstract
Aim: To study the effectiveness of Pneumatic Retinopexy for Retinal Detachment in the South Indian population.
Materials and Method: A Retrospective analysis of medical records of 34 patients who underwent pneumatic retinopexy as per standard clinical guidelines over 3 years from January 2010 to December 2013 at a tertiary eye care hospital in South India. After appropriate positioning post-operatively, the anatomical and functional outcomes of the procedure were analyzed and the causes of failure identified.
Results: A superior detachment was noted in 51.4% of cases with a mean 5.57 clock hours of detachment. The primary anatomical success rate defined by attachment of retina was recorded in 82.4% cases increasing to 96.2% with additional injection(s). A functional success defined by improvement or stationary visual acuity postoperatively was recorded in 67.6% and 17.6% cases respectively. There was no statistically significant difference in the outcome (functional or anatomical) with the gas used or retinopexy performed.
Conclusion: Pneumatic retinopexy is an effective treatment for the primary management of retinal detachment with comparable outcome rates. It has been found to be of especial value in young patients having fewer clock hours and superiorly located detachments. Being cost-effective and having a relatively lower complication rate combined with the high anatomical and functional success, it should be used as the primary treatment modality in carefully selected patients.
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References
2. Zaidi AA, Alvarado R, Irvine A. Pneumatic retinopexy: success rate and complications. The British journal of ophthalmology. 2006;90(4):427-8.
3. Modi YS, Epstein A, Flynn HW, Jr., Shi W, Smiddy WE. Outcomes and complications of pneumatic retinopexy over a 12-year period. Ophthalmic surgery, lasers & imaging retina. 2014;45(2):132-7.
4. Ross WH, Lavina A. Pneumatic retinopexy, scleral buckling, and vitrectomy surgery in the management of pseudophakic retinal detachments. Canadian journal of ophthalmology Journal canadien d'ophtalmologie. 2008;43(1):65-72.
5. Tornambe PE. Pneumatic retinopexy. Survey of ophthalmology. 1988;32(4):270-81.
6. Tornambe PE, Hilton GF, Kelly NF, Salzano TC, Wells JW, Wendel RT. Expanded indications for pneumatic retinopexy. Ophthalmology. 1988;95(5):597-600.
7. Tornambe PE, Poliner LS, Hilton GF, Grizzard WS. Comparison of pneumatic retinopexy and scleral buckling in the management of primary rhegmatogenous retinal detachment. American journal of ophthalmology. 1999;127(6):741-3.
8. Chang TS, Pelzek CD, Nguyen RL, Purohit SS, Scott GR, Hay D. Inverted pneumatic retinopexy: a method of treating retinal detachments associated with inferior retinal breaks. Ophthalmology. 2003;110(3):589-94.
9. de Juan E, Jr., McCuen B, Tiedeman J. Intraocular tamponade, and surface tension. Survey of ophthalmology. 1985;30(1):47-51.
10. Machemer R. The importance of fluid absorption, traction, intraocular currents, and chorioretinal scars in the therapy of rhegmatogenous retinal detachments. XLI Edward Jackson memorial lecture. American journal of ophthalmology. 1984;98(6):681-93.
11. Thapa R, Shrestha MK, Gurung R, Ruit S, Paudyal G. Outcome of pneumatic retinopexy at a tertiary eye care center in Nepal. Kathmandu University medical journal. 2008;6(24):466-71.
12. Hilton GF, Das T, Majji AB, Jalali S. Pneumatic retinopexy: principles and practice. Indian journal of ophthalmology. 1996;44(3):131-43.
13. Yanyali A, Horozoglu F, Bayrak YI, Celik E, Nohutcu AF. Steamroller versus basic technique in pneumatic retinopexy for primary rhegmatogenous retinal detachment. Retina. 2007;27(1):74-82.
14. Bohm P, Zahorcova M. [Pneumatic retinopexy--method of choice in treatment of retinal detachment]. Ceska a slovenska oftalmologie : casopis Ceske oftalmologicke spolecnosti a Slovenske oftalmologicke spolecnosti. 2003;59(3):154-9.
15. Gilca M, Duval R, Goodyear E, Olivier S, Cordahi G. Factors associated with outcomes of pneumatic retinopexy for rhegmatogenous retinal detachments: a retrospective review of 422 cases. Retina. 2014;34(4):693-9.
16. Davis MJ, Mudvari SS, Shott S, Rezaei KA. Clinical characteristics affecting the outcome of pneumatic retinopexy. Archives of ophthalmology. 2011;129(2):163-6.
17. Gorovoy IR, Eller AW, Friberg TR, Coe R. Characterization of pneumatic retinopexy failures and the pneumatic pump: a new complication of pneumatic retinopexy. Retina. 2014;34(4):700-4.
18. Grizzard WS, Hilton GF, Hammer ME, Taren D, Brinton DA. Pneumatic retinopexy failures. Cause, prevention, timing, and management. Ophthalmology. 1995;102(6):929-36.
19. Rootman DB, Luu S, S MC, Mandell M, Devenyi R, Lam WC, et al. Predictors of treatment failure for pneumatic retinopexy. Canadian journal of ophthalmology Journal Canadien d'ophtalmologie. 2013;48(6):549-52.
20. Marcus DM, D'Amico DJ, Mukai S. Pneumatic retinopexy versus scleral buckling for the repair of primary rhegmatogenous retinal detachment. International ophthalmology clinics. 1994;34(3):97-108.
21. Mulvihill A, Fulcher T, Datta V, Acheson R. Pneumatic retinopexy versus scleral buckling: a randomized controlled trial. Irish Journal of medical science. 1996;165(4):274-7.
22. Tornambe PE, Hilton GF. Scleral buckling versus pneumatic retinopexy. Ophthalmology. 1992;99(11):1642-3.
23. Rahat F, Nowroozzadeh MH, Rahimi M, Farvardin M, Namati AJ, Sarvestani AS, et al. Pneumatic Retinopexy for Primary Repair of Rhegmatogenous Retinal Detachments. Retina. 2015.
