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.
Objectif
Présenter les résultats de la rétinopexie pneumatique (RP) à titre de traitement initial
d'un décollement de la rétine rhegmatogène (DRR) qui répondait aux critères de l’étude
PIVOT (Pneumatic Retinopexy versus Vitrectomy for the Management of Primary Rhegmatogenous
Retinal Detachment Outcomes Randomized Trial) chez des enfants.
Nature
Étude multicentrique rétrospective.
Participants
Enfants qui ont subi une RP en ambulatoire à titre de traitement initial d'un DRR
qui répondait aux critères de l’étude PIVOT entre janvier 2006 et juillet 2019.
Méthodes
Les patients ont subi une paracentèse de la chambre antérieure suivie de l'injection
intravitréenne d'un gaz synthétique, l'hexafluorure de soufre (SF6). On a réalisé une rétinopexie au laser après le recollement de la rétine ou une
cryopexie au moment de l'intervention initiale.
Résultats
Au total, 20 yeux de 20 patients consécutifs répondaient aux critères d'inclusion
et ont été admis à cette étude. Le suivi moyen (± écart-type [é.-t.]) était de 42,2
± 38,0 mois. L’âge moyen des patients (17 garçons et 3 filles) se chiffrait à 14,4
ans (fourchette : 9–18). L'acuité visuelle moyenne (± é.-t.) est passée de 0,73 ±
0,82 logMar (équivalent approximatif de 20/100 sur l’échelle Snellen) à 0,37 ± 0,46
logMar (équivalent approximatif de 20/50 sur l’échelle Snellen; p = 0,02) à 3 mois
et à 0,40 ± 0,54 logMar (équivalent approximatif de 20/50 sur l’échelle Snellen; p = 0,05)
lors de la dernière visite de suivi. Le taux de recollement primaire était de 85 %
(17/20) à 3 mois, puis de 75 % (15/20) lors de la dernière visite de suivi.
Conclusions
La RP peut constituer un traitement efficace du DRR qui répond aux critères de l’étude
PIVOT chez des enfants.
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Article info
Publication history
Published online: July 19, 2021
Accepted:
June 15,
2021
Received in revised form:
June 12,
2021
Received:
April 24,
2021
Identification
Copyright
© 2021 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
