Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment
Purpose. To investigate outcomes of vitrectomy for rhegmatogenous retinal detachment (RRD) using air exclusively as the gas tamponade. Methods. This retrospective, interventional, consecutive case series involved reviewing medical records of patients that underwent vitrectomy and gas tamponade for R...
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Wiley
2017-01-01
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Series: | Journal of Ophthalmology |
Online Access: | http://dx.doi.org/10.1155/2017/1341948 |
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author | Kang Yeun Pak Seok Jae Lee Han Jo Kwon Sung Who Park Ik Soo Byon Ji Eun Lee |
author_facet | Kang Yeun Pak Seok Jae Lee Han Jo Kwon Sung Who Park Ik Soo Byon Ji Eun Lee |
author_sort | Kang Yeun Pak |
collection | DOAJ |
description | Purpose. To investigate outcomes of vitrectomy for rhegmatogenous retinal detachment (RRD) using air exclusively as the gas tamponade. Methods. This retrospective, interventional, consecutive case series involved reviewing medical records of patients that underwent vitrectomy and gas tamponade for RRD between January 2013 and December 2015. Patients whose eyes were treated exclusively with air tamponade since July 2014 were assigned to the air group, while those treated with heterogeneous gas agents before June 2014 were assigned to the control group. The primary outcome was the primary reattachment rate. Best-corrected visual acuity (BCVA) and duration to detect redetachments were assigned as the secondary outcomes. Results. The air group and the control group included 71 and 72 eyes, respectively. The primary reattachment rate was 94.4% in the air group and there was no significant difference with 94.4% in the control group (p=0.951). BCVA was significantly better in the air group at 1 month (p=0.021) but not at 3 months postoperatively (p=0.561). Redetachments were recognized earlier in the air group (9.3 ± 0.5 days) compared with those in the control group (21.3 ± 7.4 days) (p=0.041). Conclusions. In cases of simple RRD with sufficient removal of subretinal fluid, air could be considered for use as gas tamponade. This trial is registered with KCT0002358. |
format | Article |
id | doaj-art-ce4b53a972f64901ba25e23351cb4901 |
institution | Kabale University |
issn | 2090-004X 2090-0058 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Ophthalmology |
spelling | doaj-art-ce4b53a972f64901ba25e23351cb49012025-02-03T01:09:40ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/13419481341948Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal DetachmentKang Yeun Pak0Seok Jae Lee1Han Jo Kwon2Sung Who Park3Ik Soo Byon4Ji Eun Lee5Department of Ophthalmology, Haeundae Paik Hospital, Inje University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaDepartment of Ophthalmology, School of Medicine, Pusan National University, Busan, Republic of KoreaPurpose. To investigate outcomes of vitrectomy for rhegmatogenous retinal detachment (RRD) using air exclusively as the gas tamponade. Methods. This retrospective, interventional, consecutive case series involved reviewing medical records of patients that underwent vitrectomy and gas tamponade for RRD between January 2013 and December 2015. Patients whose eyes were treated exclusively with air tamponade since July 2014 were assigned to the air group, while those treated with heterogeneous gas agents before June 2014 were assigned to the control group. The primary outcome was the primary reattachment rate. Best-corrected visual acuity (BCVA) and duration to detect redetachments were assigned as the secondary outcomes. Results. The air group and the control group included 71 and 72 eyes, respectively. The primary reattachment rate was 94.4% in the air group and there was no significant difference with 94.4% in the control group (p=0.951). BCVA was significantly better in the air group at 1 month (p=0.021) but not at 3 months postoperatively (p=0.561). Redetachments were recognized earlier in the air group (9.3 ± 0.5 days) compared with those in the control group (21.3 ± 7.4 days) (p=0.041). Conclusions. In cases of simple RRD with sufficient removal of subretinal fluid, air could be considered for use as gas tamponade. This trial is registered with KCT0002358.http://dx.doi.org/10.1155/2017/1341948 |
spellingShingle | Kang Yeun Pak Seok Jae Lee Han Jo Kwon Sung Who Park Ik Soo Byon Ji Eun Lee Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment Journal of Ophthalmology |
title | Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment |
title_full | Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment |
title_fullStr | Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment |
title_full_unstemmed | Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment |
title_short | Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment |
title_sort | exclusive use of air as gas tamponade in rhegmatogenous retinal detachment |
url | http://dx.doi.org/10.1155/2017/1341948 |
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