Eficacia de la retinopexia láser 360° en desprendimiento de retina regmatógeno

Tomás Castro Feijoo; Martín Balbarrey; Jerónimo Riera; Pablo Armendariz; Julio Grigera; Alberto Zambrano

doi:10.70313/2718.7446.v15.n04.192

Authors

Tomás Castro Feijoo Fundación Zambrano, Buenos Aires, Argentina
Martín Balbarrey Fundación Zambrano, Buenos Aires, Argentina
Jerónimo Riera Fundación Zambrano, Buenos Aires, Argentina
Pablo Armendariz Fundación Zambrano, Buenos Aires, Argentina
Julio Grigera Fundación Zambrano, Buenos Aires, Argentina
Alberto Zambrano Fundación Zambrano, Buenos Aires, Argentina

DOI:

https://doi.org/10.70313/2718.7446.v15.n04.192

Keywords:

retinal detachment, 23G-vitrectomy, 360°-laser retinopexy

Abstract

Objective: To evaluate the efficacy of 360° laser retinopexy in primary vitrectomy in patients with rhegmatogenous retinal detachment (RD) without explant.

Methods: A retrospective, non-randomized, case series study of patients operated for rhegmatogenous RD by 23G pars plana vitrectomy, with 360° laser retinopexy, was performed between January 2018 to December 2020, who had 12 months of postoperative follow-up. The main parameters to be evaluated were re-detachment recall, retinal status, macula (adherent or not), and best-corrected visual acuity (BCVA).

Results: A total of 36 eyes were included (36 patients, 22 phakic and 14 pseudophakic), with a mean age of 58.5 ± 13.19 years (28-83). In 3 eyes (8.3%), re-detachments were detected (1 at 1 month and 2 at 3 months after surgery), which were reoperated. At one year the retina was attached in all cases (with attached macula). In 29 eyes the preoperative BCVA was ≤ 0.3 decimals, (in 21 cases less than 0.1 decimals). After 1 year of surgery, 8 eyes had a best-corrected VA ≤ 0.3 decimals (only 1 case less than 0.1 decimals), with 9 eyes obtaining between 0.4 to 0.6 decimals and 19 eyes ≥ 0.7 decimals.

Conclusions: Retinopexy 360° associated with 23G vitrectomy was effective for retinal application, without recurrence, 1 year after surgery, obtaining a significant visual gain, in the series presented, with a re-detachment rate of 8.3% in the first trimester.

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