Key PointsQuestionDoes postoperative photoreceptor integrity vary with surgical technique used to repair primary rhegmatogenous retinal detachment? FindingsIn this post hoc analysis of a randomized clinical trial, patients undergoing pneumatic retinopexy had less discontinuity of the ellipsoid zone and external limiting membrane on optical coherence tomography compared to pars plana vitrectomy at 12 months postoperatively. Ellipsoid zone and external limiting membrane discontinuity were associated with worse Early Treatment Diabetic Retinopathy Study visual acuity at 12 months postoperatively. MeaningPostoperative photoreceptor integrity can vary with surgical technique, and pneumatic retinopexy is associated with superior photoreceptor integrity at 12 months postoperatively compared with pars plana vitrectomy.
JAMA Ophthalmology – American Medical Association
Published: Jun 22, 2021