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

Christa Soekamto, Edward R. Chu, Daniel A Johnson, Jeong Hyeon Sohn, Sepehr Bahadorani

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose: Visual impairment from retinal re-detachment could be debilitating. The aim of this review is to evaluate the role of 360° 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 database inception to January 2021, evaluating the role of 360° laser retinopexy in visual and anatomical success rate of RRD repair. 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. Our meta-Analysis demonstrates that prophylactic treatment with circumferential laser photocoagulation has no significant effect on 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 undergoing 360° prophylactic laser treatment. Conclusions: Three hundred and sixty degree laser retinopexy appears to have favorable outcomes in patients undergoing 23-gauge retinal detachment repair. This protective effect, however, is not apparent with inclusion of 20-gauge vitrectomy studies.

Original languageEnglish (US)
Pages (from-to)215-222
Number of pages8
JournalKorean journal of ophthalmology : KJO
Volume35
Issue number3
DOIs
StatePublished - Jun 2021

Keywords

  • Lasers
  • Meta-Analysis
  • Retinal detachment

ASJC Scopus subject areas

  • Ophthalmology

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