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)
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