Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The investigators compared the incidence of trimming-induced retinal breaks, retinal redetachment rate, and final LogMAR BCVA; between scleral self-indentation and non-indentation during chandelier-assisted peripheral vitrectomy under air for eyes with primary retinal detachment. Self-indentation enables complete trimming of the vitreous base without causing iatrogenic retinal breaks, with a higher retinal reattachment rate, and with less need for chandelier shift than with non-indentation approach.
Retrospective cohort study. One hundred and thirty eyes of 130 participants with primary rhegmatogenous retinal detachment were identified. All the participants had undergone a chandelier-assisted peripheral vitrectomy under air. Scleral self-indentation had been used in 68 eyes (study group) (Indentation group), while non-indentation had been used in 62 eyes (comparison group) (Non-indentation group). Outcome variables included: Trimming-induced retinal breaks (TIRB), retinal redetachment rate, final LogMAR BCVA, and intraoperative complications.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| study group (Indentation) | Eyes (participants) for whom chandelier-assisted peripheral vitrectomy under air had been performed with scleral indentation. (Exposure) |
| |
| control group (Non-indentation) | eyes (participants) for whom chandelier-assisted peripheral vitrectomy under air had been performed without scleral indentation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| chandelier-assisted peripheral vitrectomy under air | Procedure | chandelier-assisted peripheral vitrectomy under air for management of peripheral vitreous during RD vitrectomy; whether using indentation or non-indentation |
| Measure | Description | Time Frame |
|---|---|---|
| Trimming-induced retinal breaks (TIRB) (yes/ No) | number of eyes with iatrogenic retinal breaks along vitreous base during vitreous base trimming | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| number of Trimming-induced retinal breaks (TIRB) | number of iatrogenic retinal breaks along vitreous base during vitreous base trimming | intraoperative |
| retinal redetachment rate (yes/no) | number of eyes in which recurrent retinal detachment occurred |
Not provided
Inclusion Criteria:
- RRD with postoperative follow up > 3 months, without PVR, or with PVR A-B
Exclusion Criteria:
Not provided
Not provided
This is a retrospective cohort study that was done on eyes (participants) with rhegmatogenous retinal detachment (RRD) for whom chandelier-assisted peripheral vitrectomy under air (CPVA) had been performed; whether using scleral self-indentation (Exposure), or without scleral self-indentation (control)
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Wael A Ewais, MD | consultant vitreoretinal surgeon | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dareloyoun hospital | Cairo | 12611 | Egypt |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D012163 | Retinal Detachment |
| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
| within 3 months |
| final LogMAR BCVA | best spectacle corrected visual acuity measured by decimal charts then converted to LogMAR | final follow-up visit ( at least 3 months) |
| snellen BCVA > 20/100 (yes/ no) | number of eyes with best corrected visual acuity better than snellen's 20/100 measured by snellen's chart | 3 months |
| Chandelier shift (yes/no) | the need to shift position of chandelier light | intraoperative |
| Local anaesthesia augmentation (yes/no) | the need for augmenting local anesthesia for the participant to tolerate indentation | intraoperative |