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Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3.
- Source :
-
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [Graefes Arch Clin Exp Ophthalmol] 2018 Nov; Vol. 256 (11), pp. 2069-2073. Date of Electronic Publication: 2018 Aug 23. - Publication Year :
- 2018
-
Abstract
- Purpose: To test if an encircling band improves outcomes in vitrectomy for pseudophakic retinal detachment (PRD) with inferior or with multiple (4 or more) breaks.<br />Methods: Subgroup analysis of a prospective randomized controlled multicenter trial in patients with uncomplicated PRD assigned either to 20 G vitrectomy plus encircling band (group E1), or 20 G vitrectomy without any buckle (group C), or 23/25 G vitrectomy without any buckle (group E2). The primary endpoint was defined as no indication for any retina reattaching procedure during the review period of 6 months. One hundred out of 257 patients were identified with inferior breaks and 63 patients had 4 or more breaks.<br />Results: In patients with retinal breaks between 5:00 and 7:00, treatment was successful in 77.4% (24/31, treatment arm E1) versus 57.1% (16/28, treatment arm C) (pā=ā0.301, odds ratio (OR) 1.83, 95% confidence interval (CI) 0.48 to 7.17). In patients with multiple breaks, success rates were 68.2% (15/22, E1) versus. 72.4% (21/29, C, pā=ā0.46, OR 0.52, CI 0.08-3.65).<br />Conclusion: Combining an encircling band with vitrectomy in patients with pseudophakic retinal detachment and inferior or multiple breaks does not significantly improve primary anatomical success in comparison to treatment with 20 G or 23/25 G vitrectomy alone.
- Subjects :
- Aged
Endotamponade
Female
Humans
Male
Middle Aged
Prospective Studies
Pseudophakia diagnosis
Pseudophakia physiopathology
Retinal Detachment diagnosis
Retinal Detachment physiopathology
Retinal Perforations diagnosis
Retinal Perforations physiopathology
Treatment Outcome
Visual Acuity physiology
Pseudophakia surgery
Retinal Detachment surgery
Retinal Perforations surgery
Scleral Buckling methods
Vitrectomy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1435-702X
- Volume :
- 256
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
- Publication Type :
- Academic Journal
- Accession number :
- 30140963
- Full Text :
- https://doi.org/10.1007/s00417-018-4106-6