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Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3

by Bartz-Schmidt, K-U , Jochmann, C , Rasche, W , Clemens, C , Joussen, A , Helbig, Horst , Mazinani, Babac , Partsch, M , Gamulescu, M A , Hillenkamp, J , Dahlke, C , Wiedemann, P , Baumgarten, S , Agostini, H , Lommatzsch, A , Walter, Peter , Mazinani, B , Feltgen, N , Schiller, P , Schiller, Petra , Eter, N , Aisenbrey, S , Junker, B , Ritzau-Tondrow, U , Pielen, A , Nestler, A , Limburg, E , Holz, F , Lappa, A , Helbig, H , Roider, H , Hellmich, Martin , Baumgarten, Sabine , Lommatzsch, Albrecht , Junker, Bernd , Kirchhof, B , Agostini, Hansjürgen , Rössler, G , Uhlig, C , Walter, P , Neß, T , Hellmich, M , Fauser, S , Rudolf, M , Lüke, M , Gök, M , Meier, P

in Ophthalmology / Patients / Retina

2018

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Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3

in Ophthalmology / Patients / Retina

2018

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Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3

in Ophthalmology / Patients / Retina

2018

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Journal Article

Vitrectomy with and without encircling band for pseudophakic retinal detachment with inferior breaks: VIPER Study Report No. 3

Bartz-Schmidt, K-U,

Jochmann, C,

Rasche, W,

Clemens, C,

Joussen, A,

Helbig, Horst,

Mazinani, Babac,

Partsch, M,

Gamulescu, M A,

Hillenkamp, J,

Dahlke, C,

Wiedemann, P,

Baumgarten, S,

Agostini, H,

Lommatzsch, A,

Walter, Peter,

Mazinani, B,

Feltgen, N,

Schiller, P,

Schiller, Petra,

Eter, N,

Aisenbrey, S,

Junker, B,

Ritzau-Tondrow, U,

Pielen, A,

Nestler, A,

Limburg, E,

Holz, F,

Lappa, A,

Helbig, H,

Roider, H,

Hellmich, Martin,

Baumgarten, Sabine,

Lommatzsch, Albrecht,

Junker, Bernd,

Kirchhof, B,

Agostini, Hansjürgen,

Rössler, G,

Uhlig, C,

Walter, P,

Neß, T,

Hellmich, M,

Fauser, S,

Rudolf, M,

Lüke, M,

Gök, M,

Meier, P

2018

Overview

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 6 months. 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.

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Publisher

Springer Nature B.V

Subject

Ophthalmology

/ Patients

/ Retina