Author: Enrico Peiretti
Co-authors: Emanuele Siotto Pintor, Filippo Tatti, Giuseppe Demarinis, Lorenzo Mangoni, Pasquale Loiudice
Abstract
SAFETY AND EFFICACY OF CRYOPEXY DURING PARS PLANA VITRECTOMY IN RHEGMATOGENOUS RETINAL DETACHMENTAuthor: Enrico Peiretti (Italy)
Co-authors: Emanuele Siotto Pintor, Filippo Tatti, Giuseppe Demarinis, , Lorenzo Mangoni, Pasquale Loiudice
Purpose: This study aimed to evaluate the success rate of a series of patients affected by rhegmatogenous retinal detachment (RRD) that underwent first‑eye pars plana vitrectomy (PPV). Moreover every patient received cryopexy for the break causing the retinal detachment, and the risks related to the cryopexy were further evaluated.
Setting/Venue: Retrospective and interventional consecutive case series.
Methods: A total of 85 eyes with primary RRD were included in this retrospective and interventional consecutive case series. Recurrent detachments, eyes with other types of detachments and the preoperative grade C-D proliferative vitreoretinopathy (PVR) were also not evaluated in this study. All eyes received at least one shot of cryopexy at the retinal tears. Best corrected preoperative, postoperative visual acuity (BCVA) and any of adverse events were recorded.
Results: 85 patients underwent to PPV, of whom 82 achieved the anatomical success. 19 of them gained 20/20 of whom 10 macula ON patients and 9 macula OFF. Four patients developed a post-operative PVR (grade C), all but one of them had a recurrency of the RRD.
Conclusions: Treatment with PPV associated with cryopexy have a good success of anatomical and visual results. No statistically significant correlation between the re-detachment rate and the use of the cryo or the rate of developing PVR in patient who underwent to a PPV surgery with cryopexy for treating RRD.
Financial Disclosure: No authors have a financial or proprietary interest in any material or method mentioned in the present study