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Protective Role of 360° Laser Retinopexy in Patients with Rhegmatogenous Retinal Detachment: a Systematic Review and Meta-analysis

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Purpose: Visual impairment from retinal re-detachment could be debilitating. The aim of this review is to evaluate the role of360° laser retinopexy on success rate of rhegmatogenous retinal detachment (RRD) repair by a meta-analysis study. Methods: The PubMed, Scopus, and the Cochrane Library databases were searched comprehensively from the date of databaseinception to January 2021, evaluating the role of 360° laser retinopexy in visual and anatomical success rate of RRDrepair. This review was conducted based on the preferred reporting items for systematic review and meta-analysis (PRISMA)protocols. Results: Among 202 articles screened for eligibility, six studies were found to be eligible for inclusion in our final analysis. Ourmeta-analysis demonstrates that prophylactic treatment with circumferential laser photocoagulation has no significant effecton the initial rate of retinal re-detachment or final best-corrected visual acuity following pars plana vitrectomy repair of RRD. Subgroup analysis of studies (n = 3) with 23-gauge pars plana vitrectomy, however, favors attachment rate in patients undergoing360° prophylactic laser treatment. Conclusions: Three hundred and sixty degree laser retinopexy appears to have favorable outcomes in patients undergoing23-gauge retinal detachment repair. This protective effect, however, is not apparent with inclusion of 20-gauge vitrectomystudies.

Abstract

Purpose: Visual impairment from retinal re-detachment could be debilitating. The aim of this review is to evaluate the role of360° laser retinopexy on success rate of rhegmatogenous retinal detachment (RRD) repair by a meta-analysis study. Methods: The PubMed, Scopus, and the Cochrane Library databases were searched comprehensively from the date of databaseinception to January 2021, evaluating the role of 360° laser retinopexy in visual and anatomical success rate of RRDrepair. This review was conducted based on the preferred reporting items for systematic review and meta-analysis (PRISMA)protocols. Results: Among 202 articles screened for eligibility, six studies were found to be eligible for inclusion in our final analysis. Ourmeta-analysis demonstrates that prophylactic treatment with circumferential laser photocoagulation has no significant effecton the initial rate of retinal re-detachment or final best-corrected visual acuity following pars plana vitrectomy repair of RRD. Subgroup analysis of studies (n = 3) with 23-gauge pars plana vitrectomy, however, favors attachment rate in patients undergoing360° prophylactic laser treatment. Conclusions: Three hundred and sixty degree laser retinopexy appears to have favorable outcomes in patients undergoing23-gauge retinal detachment repair. This protective effect, however, is not apparent with inclusion of 20-gauge vitrectomystudies.

참고문헌 (31)

  1. Kuhn F, "Rhegmatogenous retinal detachment:a reappraisal of its pathophysiology and treatment", Ophthalmic Res, 51, pp.15~31 (2014)
  2. Ghosh F, "Neuronal and glial alterations in complex long-term rhegmatogenous retinal detachment", Curr Eye Res, 37, pp.704~711 (2012)
  3. Nork TM, "Selective loss of blue cones and rods in human retinal detachment", Arch Ophthalmol, 113, pp.1066~1073 (1995)
  4. Williamson TH, "Characteristics of rhegmatogenous retinal detachment and their relationship to success rates of surgery", Retina, 34, pp.1421~1427 (2014)
  5. Sultan ZN, "Rhegmatogenous retinal detachment: a review of current practice in diagnosis and management", BMJ Open Ophthalmol, 5, pp.e000474~ (2020)
  6. Wickham L, "Surgical failure following primary retinal detachment surgery by vitrectomy:risk factors and functional outcomes", Br J Ophthalmol, 95, pp.1234~1238 (2011)
  7. Schwartz SG, "Pars plana vitrectomy for primary rhegmatogenous retinal detachment", Clin Ophthalmol, 2, pp.57~63 (2008)
  8. Moher D, "Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement", PLoS Med, 6, pp.e1000097~ (2009)
  9. Higgins JP, "The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials", BMJ, 343, pp.d5928~ (2011)
  10. Sterne JA, "RoB 2: a revised tool for assessing risk of bias in randomized trials", BMJ, 366, pp.l4898~ (2019)
  11. Bilgin AB, "Pars plana vitrectomy with or without intraoperative 360° peripheral endolaser for rhegmatogenous retinal detachment treatment", Int Ophthalmol, 39, pp.1687~1694 (2019)
  12. Dirani A, "360-degree intra-operative laser retinopexy for the prevention of retinal re-detachment in patients treated with primary pars plana vitrectomy", Graefes Arch Clin Exp Ophthalmol, 258, pp.249~256 (2020)
  13. Falkner-Radler CI, "Vitrectomy combined with endolaser or an encircling scleral buckle in primary retinal detachment surgery: a pilot study", Acta Ophthalmol, 93, pp.464~469 (2015)
  14. Iwase T, "Effect of prophylactic 360° laser treatment for prevention of retinal detachment after phacovitrectomy: (Prophylactic 360° laser treatment for prevention of retinal detachment)", BMC Ophthalmol, 13, pp.77~ (2013)
  15. Loiudice P, "Localized versus 360° intraoperative laser retinopexy in cases of rhegmatogenous retinal detachment with mild-to-moderate grade proliferative vitreoretinopathy", Eye (Lond), 35, pp.786~790 (2021)
  16. Wang JC, "Factors associated with the use of 360-degree laser retinopexy during primary vitrectomy with or without scleral buckle for rhegmatogenous retinal detachment and impact on surgical outcomes (pro study report number 4)", Retina, 40, pp.2070~2076 (2020)
  17. Mitry D, "Pathogenesis of rhegmatogenous retinal detachment: predisposing anatomy and cell biology", Retina, 30, pp.1561~1572 (2010)
  18. Saw SM, "An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment", Acta Ophthalmol Scand, 84, pp.606~612 (2006)
  19. Schwartz SG, "Primary retinal detachment:scleral buckle or pars plana vitrectomy?", Curr Opin Ophthalmol, 17, pp.245~250 (2006)
  20. Oster SF, "Spectral-domain optical coherence tomography imaging of postoperative scleral buckles", Retina, 31, pp.1493~1499 (2011)
  21. Znaor L, "Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments", Cochrane Database Syst Rev, 3, pp.CD009562~ (2019)
  22. Papakostas TD, "Postoperative complications of scleral buckling", Semin Ophthalmol, 33, pp.70~74 (2018)
  23. Kreiger AE, "Wound complications in pars plana vitrectomy", Retina, 13, pp.335~344 (1993)
  24. Chaturvedi V, "Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C3F8)for retinal detachment", Indian J Ophthalmol, 62, pp.804~808 (2014)
  25. Tabandeh H, "Outcomes of small-gauge vitreoretinal surgery without scleral-depressed shaving of the vitreous base in the era of wide-angle viewing systems", Br J Ophthalmol, 103, pp.1765~1768 (2019)
  26. Park SH, "Fortified barrier laser on the vitreous base in vitrectomy for rhegmatogenous retinal detachment", Clin Ophthalmol, 13, pp.2127~2133 (2019)
  27. He Y, "Risk factors for retinal redetachment after silicone oil removal: a systematic review and meta-analysis", Ophthalmic Surg Lasers Imaging Retina, 49, pp.416~424 (2018)
  28. Tudur Smith C, "Individual participant data meta-analyses compared with meta-analyses based on aggregate data", Cochrane Database Syst Rev, 9, pp.MR000007~ (2016)
  29. Zhou C, "360° versus localized demarcation laser photocoagulation for macular-sparing retinal detachment in silicone oil-filled eyes with undetected breaks: a retrospective, comparative, interventional study", Lasers Surg Med, 47, pp.792~797 (2015)
  30. Bouheraoua N, "Decreased corneal sensation and subbasal nerve density, and thinned corneal epithelium as a result of 360-degree laser retinopexy", Ophthalmology, 122, pp.2095~2102 (2015)
  31. Yilmaz I, "Changes in pupil size following panretinal retinal photocoagulation: conventional laser vs pattern scan laser (PASCAL)", Eye (Lond), 30, pp.1359~1364 (2016)

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