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Anatomic, visual, and financial outcomes for traditional and nontraditional primary pneumatic retinopexy for retinal detachment

American Journal of Ophthalmology Apr 04, 2019

Jung JJ, et al. - Investigators assessed 178 eyes of 156 subjects to analyze the predicting factors of anatomic and visual as well as financial consequences following traditional (TPR) and non-traditional (NTPR) primary pneumatic retinopexy (PR) for rhegmatogenous retinal detachment (RD). They observed that 131 eyes were successfully treated at 1 year (postoperative year 1) ie, 72.8% in TPR and 74.6% in NTPR. A correlation between macula-off detachment, as well as clock hours of RD and improved best-corrected visual acuity (BCVA), was reported. They also noticed that pseudophakia and inferior retinal tears were associated with worsening BCVA. An association of pseudophakia, inferior quadrant RD, and proliferative vitreoretinopathy with anatomic failure was also noted. They supported the potential cost-effectiveness of expanded indications for PR. They did not find a significant difference in the cost of primary PR and subsequent procedures in achieving the final anatomic success between TPR and NTPR.
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