Causes of failure of pneumatic retinopexy
Objective: To determine the causes of failure in eyes that underwent pneumatic retinopexy at the University of the Philippines-Philippine General Hospital (UP-PGH). Methods: A retrospective review of pneumatic retinopexy procedures performed at the UP-PGH from January 1996 to December 2002 was un...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Philippine Academy of Ophthalmology
2004-09-01
|
| Series: | Philippine Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://paojournal.com/index.php/pjo/article/view/455 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Objective: To determine the causes of failure in eyes that underwent pneumatic retinopexy at the University of the Philippines-Philippine General Hospital (UP-PGH).
Methods: A retrospective review of pneumatic retinopexy procedures performed at the UP-PGH from January 1996 to December 2002 was undertaken. Seventeen cases were analyzed as to preoperative and intraoperative variables: age; sex; preoperative visual acuity; presence of proliferative vitreoretinopathy(PVR); extent of retinal detachment; presence of macular detachment; presence, number, and type of lattice degeneration; previous cataract surgery; surgeon factor; and intraoperative use of cryotherapy. Two-tailed Fisher’s exact test and Chi square test were used in the analysis of statistical significance.
Results: The following variables were shown to be significantly correlated with failure: eyes with breaks outside the 11-1 o’clock meridians (p = 0.02), eyes with less than or equal to 3 quadrants of retinal detachment (p = 0.05), and preoperative visual acuity worse than 5/60 (p < 0.100).
Conclusion: Failure in eyes with retinal breaks outside the 11-1 o’clock meridians suggested poor patient compliance with regard to postoperative posture. In eyes with less than or equal to three quadrants of detachment, failure may ensue as a result of spillover of subretinal fluid to uninvolved quadrants. Future success with pneumatic retinopexy will rely ultimately on careful patient selection, surgeon familiarity with the technique, and patient cooperation. |
|---|---|
| ISSN: | 0031-7659 |