Purpose Of Review: We describe the history and series results of pneumatic retinopexy (PnR)and provide an analysis of PnR utilization after publication of results of pneumatic retinopexy versus vitrectomy for the management of primary rhegmatogenous retinal detachment outcomes randomized trial (PIVOT).
Recent Findings: No significant trends were found for average number of services ( P = 0.153) of PnR after the publication of PIVOT results.
Summary: PnR is a rhegmatogenous retinal detachment (RRD) repair technique that was first described in the early 1900 s and has evolved over time to become a modern-day, minimally invasive, underutilized treatment option. Other repair techniques for RRD include scleral buckling and pars plana vitrectomy (PPV), which has been compared to the use of PnR in PIVOT. Results of PIVOT concluded that PnR offered superior visual acuity and noninferiority. PnR is underutilized in the United States even after publication of results of PIVOT deemed it a noninferior treatment. Lack of a significant increase in national utilization of PnR could be associated with multifactorial clinician, systems, and financial reasons in the real-world setting.
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Article Synopsis
- The study aimed to analyze the treatment patterns and outcomes of pneumatic retinopexy (PnR) in patients with rhegmatogenous retinal detachments (RRD) utilizing data from the IRIS® Registry over the years 2013-2022.
- Results showed that the overall single-operation success (SOS) rate for PnR was 59.82%, with specific complications noted, such as vitreous hemorrhage in 9.1% of cases, and poorer visual acuity outcomes for eyes that failed the procedure.
- The findings concluded that, while PnR is widely used, its SOS rate is lower than previously reported, and phakic eyes had better outcomes compared to pseud
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