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SURGICAL DRAINAGE METHODS DURING PARS PLANA VITRECTOMY FOR RHEGMATOGENOUS RETINAL DETACHMENT: A Systematic Review and Meta-Analysis.
Grad, Justin R; Hatamnejad, Amin; Huan, Peter W; Popovic, Marko M; McKay, Bryon R; Kertes, Peter J; Muni, Rajeev H.
Afiliación
  • Grad JR; Michael DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
  • Hatamnejad A; Michael DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
  • Huan PW; Michael DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
  • Popovic MM; Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
  • McKay BR; Department of Ophthalmology and Vision Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
  • Kertes PJ; Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada.
  • Muni RH; John and Liz Tory Eye Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; and.
Retina ; 44(5): 747-755, 2024 May 01.
Article en En | MEDLINE | ID: mdl-38437843
ABSTRACT

PURPOSE:

To assess efficacy and safety outcomes of subretinal fluid drainage methods during pars plana vitrectomy for rhegmatogenous retinal detachment.

METHODS:

A systematic search strategy was conducted for studies published between January 2000 and October 2022. Included studies reported on either the safety or efficacy of two or more drainage methods during pars plana vitrectomy for patients with rhegmatogenous retinal detachment.

RESULTS:

Two randomized and five observational studies consisting of 1,524 eyes were included. Best-corrected visual acuity at the last study observation and primary reattachment rates were similar across groups. A significantly lower risk of epiretinal membrane formation was associated with draining subretinal fluid through preexisting retinal breaks (risk ratio = 0.70, 95% confidence interval = [0.60, 0.83], P = <0.01, I 2 = 0%) or with perfluorocarbon liquid (risk ratios = 0.70, 95% confidence interval = [0.59, 0.83], P = <0.01, I 2 = 0%) compared with posterior retinotomy. The risk of an abnormal foveal contour was significantly greater in perfluorocarbon liquid-treated eyes relative to posterior retinotomy (risk ratios = 1.56, 95% confidence interval = [1.13, 2.17], P = <0.01, I 2 = 0%).

CONCLUSION:

No significant differences were observed in the final best-corrected visual acuity at the last study observation and primary reattachment rates across different drainage methods. There remains limited information on the topic, so future research is warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vitrectomía / Desprendimiento de Retina / Drenaje Límite: Humans Idioma: En Revista: Retina Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vitrectomía / Desprendimiento de Retina / Drenaje Límite: Humans Idioma: En Revista: Retina Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos