Ophthalmic Surg Lasers Imaging Retina. 2023 Jun;54(6):354-361. doi: 10.3928/23258160-20230508-03. Epub 2023 Jan 5.
This study aims to compare the outcomes of pneumatic retinopexy (PnR) versus pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD).
A systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. An electronic search was conducted identifying six comparative studies of PnR versus PPV for RRD enrolling 1,061 patients. The primary outcome was visual acuity (VA). Anatomical success and complications were the secondary outcomes.
No statistically significant difference was observed in VA between the groups. There was a statistically significant difference in the odds of re-attachment favoring PPV over PnR (odds ratio [OR] = 0.29, < 0.00001). No statistically significant difference was found in final anatomical success (OR = 1.00, = 1.00) and the development of cataracts (OR = 0.34, = 0.61). Other complications, including retinal tears and postoperative proliferative vitreoretinopathy, were more frequently reported in the PnR group.
PPV has a higher rate of primary reattachment compared to PnR for treating RRD with comparable final anatomical success, complications, and VA outcomes. .
本研究旨在比较巩膜扣带术（PnR）与玻璃体切除术（PPV）治疗孔源性视网膜脱离（RRD）的效果。
根据系统评价和荟萃分析的首选报告项目（PRISMA）指南，进行了系统评价和荟萃分析。进行了电子检索，确定了 6 项比较 PnR 与 PPV 治疗 RRD 的研究，共纳入 1061 例患者。主要结局是视力（VA）。次要结局是解剖成功率和并发症。
两组间 VA 无统计学差异。PPV 组较 PnR 组更有利于视网膜复位的优势比（OR）为 0.29（<0.00001），有统计学意义。最终解剖成功率（OR = 1.00，= 1.00）和白内障发生（OR = 0.34，= 0.61）无统计学差异。在 PnR 组中，更常报告视网膜裂孔和术后增生性玻璃体视网膜病变等其他并发症。
PPV 治疗 RRD 的初次复位率高于 PnR，最终解剖成功率、并发症和 VA 结局相当。
