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Characterization of pneumatic retinopexy failures and the pneumatic pump: a new complication of pneumatic retinopexy.
Gorovoy, Ian R; Eller, Andrew W; Friberg, Thomas R; Coe, Rodney.
Afiliação
  • Gorovoy IR; *Department of Ophthalmology, University of California, San Francisco, San Francisco, California; and †Charles T. Campbell Ocular Microbiology Laboratory, UPMC Eye Center, Retina Service, Department of Ophthalmology, University of Pittsburgh School of Medicine and The Eye and Ear Institute, Pittsburgh, Pennsylvania.
Retina ; 34(4): 700-4, 2014 Apr.
Article em En | MEDLINE | ID: mdl-24263467
BACKGROUND: We review a three-year series of cases with pneumatic retinopexy (PR), specifically evaluating failures and suggesting a new mechanism of failure. METHODS: One hundred and thirty-five consecutive patients who underwent PR for rhegmatogenous retinal detachments were included. The primary outcome measure was the characteristics of PR failures. Secondary outcome measures included preoperative clinical characteristics. RESULTS: Seventy-five percent of the patients had successful results with PR; 100% were ultimately reattached with additional surgery. All but 1 failure (97%) occurred within the first postoperative month and 85% occurred by postoperative Day 10. The most common cause of failure was a new detachment from a new break (23 of 35 failures). Risk factors for failure included presenting visual acuity worse than 20/60 (odds ratio [OR] = 1.89), male gender (OR = 1.52), age >60 years (OR = 1.32), >2 breaks (OR = 1.28), pseudophakia/aphakia (OR = 1.20), and detachments after trabeculectomy (OR = 2.43). Lattice degeneration, high myopia (>-6.00 diopters), left eye, detachment after cataract surgery or yttrium aluminum garnet capsulotomy had minimal influence on outcome (all OR < 1.10). CONCLUSION: Characterization of PR failures will improve patient selection. We have named a new complication secondary to a patient performing the steamroller maneuver five times the "pneumatic pump."
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Descolamento Retiniano / Criocirurgia / Terapia a Laser / Tamponamento Interno Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Retina Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Descolamento Retiniano / Criocirurgia / Terapia a Laser / Tamponamento Interno Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Retina Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos