SF 6 COMPARED WITH C 2 F 6 FOR INFERIOR RHEGMATOGENOUS RETINAL REPAIR : The Manchester Pseudophakic Retinal Detachment Study.
Retina
; 44(5): 791-798, 2024 May 01.
Article
in En
| MEDLINE
| ID: mdl-38236936
ABSTRACT
PURPOSE:
To compare SF 6 relative with C 2 F 6 in the anatomical and functional outcomes following pars plana vitrectomy for uncomplicated primary pseudophakic rhegmatogenous retinal detachment with inferior causative breaks.METHODS:
This is a retrospective, comparative study on eyes with pseudophakic rhegmatogenous retinal detachment with inferior causative breaks that had small-gauge pars plana vitrectomy repair using SF 6 and C 2 F 6 tamponade between 2011 and 2020 at a tertiary centre in the United Kingdom. Primary outcome was single surgery anatomical success, and the secondary outcome was best-corrected visual acuity. Propensity score matching, using preoperative findings as covariates to account for relevant confounders, was performed.RESULTS:
From 162 pseudophakic rhegmatogenous retinal detachment eyes with inferior causative breaks, the median (interquartile range) follow-up was 82 (52-182) days. The single surgery anatomical success was 156 (96.3%) overall 47 of 47 (100.0%) and 109 of 115 (94.8%) in the SF 6 and C 2 F 6 groups, respectively ( P = 0.182). Relative to the SF 6 group, the C 2 F 6 group had a higher mean number of tears (SF 6 3.1[2.0], C 2 F 6 4.5[2.7], P = 0.002) and greater retinal detachment extent (SF 6 5.3[2.9], C 2 F 6 6.2[2.6] clock hours, P = 0.025). Following propensity score matching analysis, 80 eyes were matched with 40 in each group to homogenize preoperative factors. No significant difference was found in single surgery anatomical success and best-corrected visual acuity between the groups following propensity score matching.CONCLUSION:
Primary pars plana vitrectomy with gas tamponade leads to a high single surgery anatomical success rate in uncomplicated pseudophakic rhegmatogenous retinal detachment with inferior causative breaks with no additional benefit associated with long-acting tamponade when comparing C 2 F 6 with SF 6 .
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sulfur Hexafluoride
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Vitrectomy
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Retinal Detachment
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Visual Acuity
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Pseudophakia
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Endotamponade
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Fluorocarbons
Limits:
Aged
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Female
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Humans
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Male
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Middle aged
Language:
En
Journal:
Retina
Year:
2024
Document type:
Article
Affiliation country: