PROPHYLACTIC PREOPERATIVE LASER RETINOPEXY DOES NOT REDUCE THE OCCURRENCE OF RHEGMATOGENOUS RETINAL COMPLICATIONS IN MACULAR SURGERY

Aakriti Garg, Jonathan S. Chang, Gian Marco Tosi, Pierluigi Esposti, Royce W. Chen, Jason Horowitz, Quan V. Hoang, William M. Schiff, Gaetano R. Barile, Stanley Chang

Research output: Contribution to journalArticle

Abstract

PURPOSE: Knowledge on the utility of prophylactic 360° laser retinopexy before pars plana vitrectomy in the absence of peripheral retinal pathology is limited. This study compares the occurrence of rhegmatogenous events in the setting of small-gauge pars plana vitrectomy with and without prophylactic preoperative laser.

METHODS: Our multicenter, retrospective case-control analysis reviewed patients who underwent epiretinal membrane removal or macular hole repair through 23- or 25-gauge pars plana vitrectomy: 205 controls who did not receive prophylactic laser and 176 cases who received preoperative prophylactic laser retinopexy anterior to the equator. Main outcome measures were the rate and characteristics of postoperative retinal tears and detachments. Patients with previous pars plana vitrectomy or significant retinal disease were excluded.

RESULTS: Of those patients with prophylactic laser and those without, there was no significant difference in the number of retinal breaks (1.7% vs. 0.49%, respectively; P = 0.339) or retinal detachments (0% vs. 0.49%, respectively; P = 1.00). Of the lasered group, there was one sclerotomy-related retinal break and two non-sclerotomy-related retinal breaks. Of the nonlasered group, there was one non-sclerotomy-related retinal break and one sclerotomy-related retinal detachment.

CONCLUSION: Preoperative prophylactic peripheral laser retinopexy does not seem to offer an added benefit in the prevention of intraoperative and postoperative rhegmatogenous events.

Original languageEnglish (US)
Pages (from-to)1707-1712
Number of pages6
JournalRetina (Philadelphia, Pa.)
Volume38
Issue number9
DOIs
StatePublished - Sep 1 2018
Externally publishedYes

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Retinal Perforations
Lasers
Temazepam
Vitrectomy
Retinal Detachment
Epiretinal Membrane
Retinal Diseases
Outcome Assessment (Health Care)
Pathology

ASJC Scopus subject areas

  • Ophthalmology

Cite this

PROPHYLACTIC PREOPERATIVE LASER RETINOPEXY DOES NOT REDUCE THE OCCURRENCE OF RHEGMATOGENOUS RETINAL COMPLICATIONS IN MACULAR SURGERY. / Garg, Aakriti; Chang, Jonathan S.; Tosi, Gian Marco; Esposti, Pierluigi; Chen, Royce W.; Horowitz, Jason; Hoang, Quan V.; Schiff, William M.; Barile, Gaetano R.; Chang, Stanley.

In: Retina (Philadelphia, Pa.), Vol. 38, No. 9, 01.09.2018, p. 1707-1712.

Research output: Contribution to journalArticle

Garg, A, Chang, JS, Tosi, GM, Esposti, P, Chen, RW, Horowitz, J, Hoang, QV, Schiff, WM, Barile, GR & Chang, S 2018, 'PROPHYLACTIC PREOPERATIVE LASER RETINOPEXY DOES NOT REDUCE THE OCCURRENCE OF RHEGMATOGENOUS RETINAL COMPLICATIONS IN MACULAR SURGERY', Retina (Philadelphia, Pa.), vol. 38, no. 9, pp. 1707-1712. https://doi.org/10.1097/IAE.0000000000001780
Garg, Aakriti ; Chang, Jonathan S. ; Tosi, Gian Marco ; Esposti, Pierluigi ; Chen, Royce W. ; Horowitz, Jason ; Hoang, Quan V. ; Schiff, William M. ; Barile, Gaetano R. ; Chang, Stanley. / PROPHYLACTIC PREOPERATIVE LASER RETINOPEXY DOES NOT REDUCE THE OCCURRENCE OF RHEGMATOGENOUS RETINAL COMPLICATIONS IN MACULAR SURGERY. In: Retina (Philadelphia, Pa.). 2018 ; Vol. 38, No. 9. pp. 1707-1712.
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abstract = "PURPOSE: Knowledge on the utility of prophylactic 360° laser retinopexy before pars plana vitrectomy in the absence of peripheral retinal pathology is limited. This study compares the occurrence of rhegmatogenous events in the setting of small-gauge pars plana vitrectomy with and without prophylactic preoperative laser.METHODS: Our multicenter, retrospective case-control analysis reviewed patients who underwent epiretinal membrane removal or macular hole repair through 23- or 25-gauge pars plana vitrectomy: 205 controls who did not receive prophylactic laser and 176 cases who received preoperative prophylactic laser retinopexy anterior to the equator. Main outcome measures were the rate and characteristics of postoperative retinal tears and detachments. Patients with previous pars plana vitrectomy or significant retinal disease were excluded.RESULTS: Of those patients with prophylactic laser and those without, there was no significant difference in the number of retinal breaks (1.7{\%} vs. 0.49{\%}, respectively; P = 0.339) or retinal detachments (0{\%} vs. 0.49{\%}, respectively; P = 1.00). Of the lasered group, there was one sclerotomy-related retinal break and two non-sclerotomy-related retinal breaks. Of the nonlasered group, there was one non-sclerotomy-related retinal break and one sclerotomy-related retinal detachment.CONCLUSION: Preoperative prophylactic peripheral laser retinopexy does not seem to offer an added benefit in the prevention of intraoperative and postoperative rhegmatogenous events.",
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AU - Chang, Jonathan S.

AU - Tosi, Gian Marco

AU - Esposti, Pierluigi

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AU - Horowitz, Jason

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AU - Schiff, William M.

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