Baumgarten, Sabine and Schiller, Petra and Hellmich, Martin and Walter, Peter and Agostini, Hansjuergen and Junker, Bernd and Helbig, Horst and Lommatzsch, Albrecht and Mazinani, Babac (2018) Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 256 (11). pp. 2069-2073. ISSN 0721-832X, 1435-702X
Full text not available from this repository. (Request a copy)Abstract
PurposeTo test if an encircling band improves outcomes in vitrectomy for pseudophakic retinal detachment (PRD) with inferior or with multiple (4 or more) breaks.MethodsSubgroup analysis of a prospective randomized controlled multicenter trial in patients with uncomplicated PRD assigned either to 20 G vitrectomy plus encircling band (group E1), or 20 G vitrectomy without any buckle (group C), or 23/25 G vitrectomy without any buckle (group E2). The primary endpoint was defined as no indication for any retina reattaching procedure during the review period of 6months. One hundred out of 257 patients were identified with inferior breaks and 63 patients had 4 or more breaks.ResultsIn patients with retinal breaks between 5:00 and 7:00, treatment was successful in 77.4% (24/31, treatment arm E1) versus 57.1% (16/28, treatment arm C) (p=0.301, odds ratio (OR) 1.83, 95% confidence interval (CI) 0.48 to 7.17). In patients with multiple breaks, success rates were 68.2% (15/22, E1) versus. 72.4% (21/29, C, p=0.46, OR 0.52, CI 0.08-3.65).ConclusionCombining an encircling band with vitrectomy in patients with pseudophakic retinal detachment and inferior or multiple breaks does not significantly improve primary anatomical success in comparison to treatment with 20 G or 23/25 G vitrectomy alone.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MANAGEMENT; Inferior breaks; Pseudophakic; Randomized clinical trial; Retinal detachment; Scleral buckling; Vitrectomy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Augenheilkunde |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 10 Oct 2019 10:08 |
| Last Modified: | 10 Oct 2019 10:08 |
| URI: | https://pred.uni-regensburg.de/id/eprint/13642 |
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