Universität zu Köln

Baumgarten, Sabine, Schiller, Petra, Hellmich, Martin, Walter, Peter, Agostini, Hansjuergen, Junker, Bernd, Helbig, Horst, 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 Arch. Clin. Exp. Ophthalmol., 256 (11). S. 2069 - 2074. NEW YORK: SPRINGER. ISSN 1435-702X

Full text not available from this repository.

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:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Baumgarten, Sabine UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiller, Petra UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Walter, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Agostini, Hansjuergen UNSPECIFIED UNSPECIFIED UNSPECIFIED Junker, Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Helbig, Horst UNSPECIFIED UNSPECIFIED UNSPECIFIED Lommatzsch, Albrecht UNSPECIFIED UNSPECIFIED UNSPECIFIED Mazinani, Babac UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-168276
DOI:	10.1007/s00417-018-4106-6
Journal or Publication Title:	Graefes Arch. Clin. Exp. Ophthalmol.
Volume:	256
Number:	11
Page Range:	S. 2069 - 2074
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-702X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MANAGEMENT Multiple languages Ophthalmology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/16827