Bradley T Smith, Mohammad Z Siddiqui, Gautam Vangipuram, Charles Li, Xuan Peng, Flora Lum
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Group 3 had RD that required surgical repair after PnR.</p><p><strong>Main outcome measures: </strong>Subsequent PPV for indications other than RD repair, follow-up duration, and visual acuity (VA).</p><p><strong>Results: </strong>In total, 9488 eyes of 9401 patients met the study criteria. The mean age was 65 years, and most were males (60.2%). Of these, 9107 eyes were analyzed according to the inclusion/exclusion criteria. Group 1 included 556 eyes, group 2 included 5351, and group 3 included 3200. In group 1, PPV alone was performed in 30.8% (171 eyes), internal limiting membrane was removed in 25.7% (143 eyes), and epiretinal membrane was removed in 18.3% (102 eyes). Panretinal or focal endolaser photocoagulation was performed with a PPV in 13.3% (74 eyes) and 11.9% (66 eyes), respectively. Average baseline VA in group 1 (0.35 logarithm of the minimum angle of resolution [logMAR], 20/45) was similar to group 2 (0.33 logMAR, 20/43). The mean final VA was lower (0.33 logMAR [20/43] vs. 0.21 logMAR [20/32], P < 0.001), the mean follow-up duration was longer (1516 vs. 1377 days, P < 0.001), and more were male (63.3% vs. 56.1%, P = 0.006). The mean follow-up duration was longer than group 3 (1401 days, P = 0.002), whereas final VA was similar to group 3 (0.38 logMAR [20/48], P = 0.50). Overall, 64.9% (5907 eyes) were reattached using PnR, and 9.4% (556) of these required a non-RD PPV.</p><p><strong>Conclusions: </strong>Nearly 1 in 10 eyes required a non-RD PPV after reattachment with PnR. Visual acuity outcomes were similar to eyes requiring surgical repair for RD. The possible need for PPV after reattachment with PnR should be addressed when counseling patients.</p><p><strong>Financial disclosure(s): </strong>Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.</p>","PeriodicalId":19501,"journal":{"name":"Ophthalmology. 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Group 1 eyes had a non-RD PPV after PnR. Group 2 did not require a surgical procedure after PnR. Group 3 had RD that required surgical repair after PnR.</p><p><strong>Main outcome measures: </strong>Subsequent PPV for indications other than RD repair, follow-up duration, and visual acuity (VA).</p><p><strong>Results: </strong>In total, 9488 eyes of 9401 patients met the study criteria. The mean age was 65 years, and most were males (60.2%). Of these, 9107 eyes were analyzed according to the inclusion/exclusion criteria. Group 1 included 556 eyes, group 2 included 5351, and group 3 included 3200. In group 1, PPV alone was performed in 30.8% (171 eyes), internal limiting membrane was removed in 25.7% (143 eyes), and epiretinal membrane was removed in 18.3% (102 eyes). Panretinal or focal endolaser photocoagulation was performed with a PPV in 13.3% (74 eyes) and 11.9% (66 eyes), respectively. 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引用次数: 0
摘要
目的：报道玻璃体切除术（PPV）后视网膜脱离（RD）气动视网膜固定术（PnR）的发生率和基本原理。设计：回顾性、非随机、比较研究。参与者：2013年4月1日至2021年12月31日期间接受PnR的IRIS®注册（Intelligent Research in Sight）患者。方法：采用计费代码进行纳入/排除，并定义三组进行PnR后的比较。组1眼在PnR后出现非rd性PPV。第二组在PnR后不需要手术。第3组有RD，在PnR后需要手术修复。主要结局指标：除RD修复外的其他适应症的PPV，随访时间和视力（VA）。结果：9401例患者中9488只眼符合研究标准。平均年龄65岁，男性居多（60.2%）。根据纳入/排除标准对9107只眼睛进行分析。1组556只眼，2组5351只眼，3组3200只眼。1组仅行PPV手术者占30.8%（171眼），切除内限制膜者占25.7%（143眼），切除视网膜前膜者占18.3%（102眼）。采用PPV进行全视网膜或局部激光光凝治疗的患者分别为13.3%（74眼）和11.9%（66眼）。组1的平均基线VA （0.35 logMAR, 20/45）与组2相似（0.33 logMAR, 20/43）。平均最终VA较低（0.33 logMAR（20/43）和0.21 logMAR(20/32)）。结论：近十分之一的眼睛在再附着PnR后需要非rd PPV。VA的结果与RD需要手术修复的眼睛相似。在咨询患者时，应解决PnR再附着后PPV的可能需求。
Participants: Intelligent Research in Sight (IRIS Registry) patients undergoing PnR from April 1, 2013, to December 31, 2021.
Methods: Billing codes were used to apply inclusion/exclusion and define 3 groups for comparison after PnR. Group 1 eyes had a non-RD PPV after PnR. Group 2 did not require a surgical procedure after PnR. Group 3 had RD that required surgical repair after PnR.
Main outcome measures: Subsequent PPV for indications other than RD repair, follow-up duration, and visual acuity (VA).
Results: In total, 9488 eyes of 9401 patients met the study criteria. The mean age was 65 years, and most were males (60.2%). Of these, 9107 eyes were analyzed according to the inclusion/exclusion criteria. Group 1 included 556 eyes, group 2 included 5351, and group 3 included 3200. In group 1, PPV alone was performed in 30.8% (171 eyes), internal limiting membrane was removed in 25.7% (143 eyes), and epiretinal membrane was removed in 18.3% (102 eyes). Panretinal or focal endolaser photocoagulation was performed with a PPV in 13.3% (74 eyes) and 11.9% (66 eyes), respectively. Average baseline VA in group 1 (0.35 logarithm of the minimum angle of resolution [logMAR], 20/45) was similar to group 2 (0.33 logMAR, 20/43). The mean final VA was lower (0.33 logMAR [20/43] vs. 0.21 logMAR [20/32], P < 0.001), the mean follow-up duration was longer (1516 vs. 1377 days, P < 0.001), and more were male (63.3% vs. 56.1%, P = 0.006). The mean follow-up duration was longer than group 3 (1401 days, P = 0.002), whereas final VA was similar to group 3 (0.38 logMAR [20/48], P = 0.50). Overall, 64.9% (5907 eyes) were reattached using PnR, and 9.4% (556) of these required a non-RD PPV.
Conclusions: Nearly 1 in 10 eyes required a non-RD PPV after reattachment with PnR. Visual acuity outcomes were similar to eyes requiring surgical repair for RD. The possible need for PPV after reattachment with PnR should be addressed when counseling patients.
Financial disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.
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