360 Degree Endolaser versus Focal Endolaser in Primary Rhegmatogenous Retinal Detachment Repair.

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Citation: Retina. 2022 Aug 15PMID: 35982506Institution: MedStar Washington Hospital CenterDepartment: Ophthalmology ResidencyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2022ISSN:
  • 0275-004X
Name of journal: Retina (Philadelphia, Pa.)Abstract: CONCLUSION: The use of 360EL in PPV for RRD repair does not improve single-surgery anatomical success in routine RRDs when compared to PPV with focal laser.METHODS: A single site retrospective chart review was performed on 241 patients who underwent PPV for primary RRD. Patients were assigned to two groups, PPV with 360EL (n=183) and PPV without 360EL (n=59). Only cases where surgeons performed 360EL on all RRDs or surgeons who never perform 360EL on RRDs were included.PURPOSE: To determine the efficacy of 360-degree endolaser (360EL) versus focal laser during primary vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD) repair.RESULTS: The single surgery anatomical success rate in the 360EL group was 90.2% compared to 86.5% with focal laser (p=0.619). ERM formation in 360EL group at 1 year was 44.4% vs 37% with focal laser (p=0.429). CME formation within 1 year of surgery was 25.8% in 360EL group vs 11.9% with focal laser (p=0.04).All authors: Albarracin J, Broderick K, Godwin KS, Levinson J, Mathai M, Melamud AFiscal year: FY2023Digital Object Identifier: Date added to catalog: 2022-10-20
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Journal Article MedStar Authors Catalog Article 35982506 Available 35982506

CONCLUSION: The use of 360EL in PPV for RRD repair does not improve single-surgery anatomical success in routine RRDs when compared to PPV with focal laser.

METHODS: A single site retrospective chart review was performed on 241 patients who underwent PPV for primary RRD. Patients were assigned to two groups, PPV with 360EL (n=183) and PPV without 360EL (n=59). Only cases where surgeons performed 360EL on all RRDs or surgeons who never perform 360EL on RRDs were included.

PURPOSE: To determine the efficacy of 360-degree endolaser (360EL) versus focal laser during primary vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD) repair.

RESULTS: The single surgery anatomical success rate in the 360EL group was 90.2% compared to 86.5% with focal laser (p=0.619). ERM formation in 360EL group at 1 year was 44.4% vs 37% with focal laser (p=0.429). CME formation within 1 year of surgery was 25.8% in 360EL group vs 11.9% with focal laser (p=0.04).

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