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Postoperative Photoreceptor Integrity Following Pneumatic Retinopexy vs Pars Plana Vitrectomy for Retinal Detachment Repair

Postoperative Photoreceptor Integrity Following Pneumatic Retinopexy vs Pars Plana Vitrectomy for... 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2021.0803
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Jun 22, 2021

References