Advertisement

Pneumatic retinopexy as a treatment for rhegmatogenous retinal detachment in pediatric patients meeting PIVOT criteria

      Abstract

      Objective

      To report the results of pneumatic retinopexy (PnR) as the initial treatment in pediatric patients with rhegmatogenous retinal detachment (RRD) fulfilling The Pneumatic Retinopexy versus Vitrectomy for the Management of Primary Rhegmatogenous Retinal Detachment Outcomes Randomized Trial (PIVOT) criteria.

      Design

      A retrospective multicentre study.

      Participants

      Pediatric patients who underwent outpatient PnR as the initial treatment for RRD from January 2006 to July 2019 who met PIVOT criteria.

      Methods

      Patients underwent anterior chamber paracentesis followed by intravitreal injection of sulfur hexafluoride (SF6) gas. Either laser retinopexy was performed following retinal reattachment or cryopexy was performed at the time of the initial procedure.

      Results

      A total of 20 eyes of 20 consecutive patients met inclusion criteria and were included in this study. Mean (± standard deviation [SD]) follow-up time was 42.2 ± 38.0 months. Mean patient age was 14.4 years (range, 9–18). There were 17 males and 3 females. The mean (± SD) logMar visual acuity improved from 0.73 ± 0.82 (Snellen equivalent approximately 20/100) to 0.37 ± 0.46 (Snellen equivalent approximately 20/50; p = 0.02) at 3 months and to 0.40 ± 0.54 (Snellen equivalent approximately 20/50; p = 0.05) at last follow-up. Primary reattachment rate was 85% (17/20) at 3 months and 75% (15/20) at last follow-up visit.

      Conclusions

      PnR may be an effective treatment option for RRD in pediatric patients meeting PIVOT criteria.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Canadian Journal of Ophthalmology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Mitry D
        • Charteris DG
        • Fleck BW
        • Campbell H
        • Singh J.
        The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations.
        Br J Ophthalmol. 2010; 94: 678-684
        • Fivgas GD
        • Capone A.
        Paediatric rhegmatogenous retinal detachment.
        Retina. 2001; 21: 101-106
        • Weinberg DV.
        • Lyon AT
        • Greenwald MJ
        • Mets MB.
        Rhegmatogenous retinal detachments in children: risk factors and surgical outcomes.
        Ophthalmology. 2003; 110: 1708-1713
        • Wenick AS
        • Barañano DE.
        Evaluation and management of paediatric rhegmatogenous retinal detachment.
        Saudi J Ophthalmol. 2012; 26: 255-263
        • Yokoyama T
        • Kato T
        • Minamoto A
        • Sugihara A
        • Imada M
        • Kuwabara R
        • et al.
        Characteristics and surgical outcomes of paediatric retinal detachment.
        Eye. 2004; 18: 889-892
        • Soliman MM
        • MacKy TA.
        Paediatric rhegmatogenous retinal detachment.
        Int Ophthalmol Clin. 2011; 51: 147-171
        • Hilton GF
        • Tornambe PE
        The Retinal Detachment Study Group. Pneumatic retinopexy: an analysis of intraoperative and postoperative complications.
        Retina. 1991; : 285-294
        • Hillier RJ
        • Felfeli T
        • Berger AR
        • Wong DT
        • Altomare F
        • Dai D
        • et al.
        The Pneumatic Retinopexy versus Vitrectomy for the Management of Primary Rhegmatogenous Retinal Detachment Outcomes Randomized Trial (PIVOT).
        Ophthalmology. 2019; 126: 531-539
        • Tornambe PE
        • Hilton GF
        • Poliner LS
        • Brinton DA
        • Flood TP
        • Orth DH
        • et al.
        Pneumatic retinopexy: a multicenter randomized controlled clinical trial comparing pneumatic retinopexy with scleral buckling.
        Ophthalmology. 1989; 96: 772-784
        • Melgen SE
        • Michels M.
        Pneumatic retinopexy for the treatment of giant retinal dialyses.
        Am J Ophthalmol. 1994; 118: 762-765
        • Chen SN
        • Hwang JF.
        Treatment of rhegmatogenous retinal detachment in teenagers by pneumatic retinopexy technique.
        Am J Ophthalmol. 2007; 143 (e2): 217-221
        • Ghoraba HH
        • Mansour HO
        • Abdelhafez MA
        • El Gouhary SM
        • Zaky AG
        • Heikal MA
        • et al.
        Comparison between pars plana vitrectomy with and without encircling band in the treatment of paediatric traumatic rhegmatogenous retinal detachment.
        Clin Ophthalmol. 2020; 14: 3271-3277
        • Read SP
        • Aziz HA
        • Kuriyan A
        • Kothari N
        • Davis JL
        • Smiddy WE
        • et al.
        Retinal detachment surgery in a paediatric population: visual and anatomic outcomes.
        Retina. 2018; 38: 1393-1402
        • Smith JM
        • Ward LT
        • Townsend JH
        • Yan J
        • Hendrick AM
        • Cribbs BE
        • et al.
        Rhegmatogenous retinal detachment in children: clinical factors predictive of successful surgical repair.
        Ophthalmology. 2019; 126: 1263-1270