Kurochkin Philip, Huang Natalie, Petrela Redion, Rosenberg Kevin I, Brown Jamin S, Oellers Patrick
Retina-Vitreous Surgeons of CNY, Liverpool, NY, USA.
Clin Ophthalmol. 2021 Mar 19;15:1207-1214. doi: 10.2147/OPTH.S302413. eCollection 2021.
To investigate real-world outcomes of pars plana vitrectomy (PPV) for eyes with primary rhegmatogenous retinal detachments (RRD) eligible for pneumatic retinopexy (PnR).
This was a single center retrospective case series looking at consecutive patients with primary RRDs. A database was created on all patients with a primary RRD from 2010 to 2018 based on billing code 67108. Eyes anatomically eligible for PnR were reviewed for preoperative, intraoperative and postoperative characteristics. The main outcome assessed was single surgery anatomical success (SSAS), final anatomical success (FAS), and postoperative LogMAR vision.
A total of 720 eyes (age, 62.9 ± 9.1 years; 61.7% were male) met inclusion criteria for PnR and underwent PPV. SSAS was 94.0% and FAS was 99.9%. Preoperative and final LogMAR vision was 0.853 and 0.293 (P<0.001) in eyes with SSAS vs 0.714 and 0.648 (P=0.686) in eyes with primary failure. PVR was the most common etiology of primary surgical failure (n=21, 49%). Patients who failed primary repair had a mean of 1.12 additional surgeries with a median time of 45 days between surgeries.
A robust single surgery success rate with good visual outcomes was achieved across 8 years and multiple surgeons utilizing PPV to treat primary RRDs in eyes which anatomically qualified for pneumatic retinopexy in a real-world setting.
探讨对适合气体视网膜固定术（PnR）的原发性孔源性视网膜脱离（RRD）眼行玻璃体切割术（PPV）的实际疗效。
这是一项单中心回顾性病例系列研究，观察连续性原发性RRD患者。基于计费代码67108，建立了一个2010年至2018年所有原发性RRD患者的数据库。对解剖学上适合PnR的眼睛的术前、术中和术后特征进行了评估。评估的主要结局为单次手术解剖成功（SSAS）、最终解剖成功（FAS）和术后LogMAR视力。
共有720只眼（年龄62.9±9.1岁；61.7%为男性）符合PnR纳入标准并接受了PPV。SSAS为94.0%，FAS为99.9%。SSAS组术前和最终LogMAR视力分别为0.853和0.293（P<0.001），而初次手术失败组分别为0.714和0.648（P=0.686）。增殖性玻璃体视网膜病变（PVR）是初次手术失败最常见的原因（n=21，49%）。初次修复失败的患者平均额外进行1.12次手术，手术间隔时间中位数为45天。
在真实临床环境中，8年间多位外科医生使用PPV治疗解剖学上适合气体视网膜固定术的原发性RRD眼，取得了较高的单次手术成功率和良好的视觉效果。
