TY - JOUR
T1 - Protective Role of 360° Laser Retinopexy in Patients with Rhegmatogenous Retinal Detachment
T2 - A Systematic Review and Meta-Analysis
AU - Soekamto, Christa
AU - Chu, Edward R.
AU - Johnson, Daniel A.
AU - Sohn, Jeong Hyeon
AU - Bahadorani, Sepehr
N1 - Publisher Copyright:
© 2021 Universidade Federal de Minas Gerais. All rights reserved.
PY - 2021/6
Y1 - 2021/6
N2 - 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.
AB - 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.
KW - Lasers
KW - Meta-Analysis
KW - Retinal detachment
UR - http://www.scopus.com/inward/record.url?scp=85108731788&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85108731788&partnerID=8YFLogxK
U2 - 10.3341/KJO.2021.0013
DO - 10.3341/KJO.2021.0013
M3 - Review article
AN - SCOPUS:85108731788
SN - 1011-8942
VL - 35
SP - 215
EP - 222
JO - Korean journal of ophthalmology : KJO
JF - Korean journal of ophthalmology : KJO
IS - 3
ER -