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مقاله
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Abstract
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Title:
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Pneumatic Retinopexy for Primary Repair of Rhegmatogenous Retinal Detachments
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Author(s):
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Feisal Rahat, MD, FICO; Mohammad Hosein Nowroozzadeh, MD; Mansour Rahimi, MD; Mohsen Farvardin, MD; Ali Jan Namati, MD; Ali Sadeghi Sarvestani, MD; Fatemeh Sharifi, MS
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Presentation Type:
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Poster
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Subject:
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Posterior Segment and Uveitis
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Others:
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Presenting Author:
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Name:
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Feisal Rahat
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Affiliation :(optional)
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Poostchi Eye Research Center, Department of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran.
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E mail:
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feisalrahat@gmail.com
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Phone:
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07112334012
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Mobile:
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09171115671
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Purpose:
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To evaluate anatomical and functional outcomes of pneumatic retinopexy for primary repair of rhegmatogenous retinal detachments, and to determine demographic and ocular risk factors for failure of the procedure.
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Methods:
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A chart review on 97 eyes of 97 patients who had undergone pneumatic retinopexy as the initial procedure for unilateral recent primary retinal detachments with causative break(s) in the superior 2/3rd of the retina. After injection of 0.35-0.60 mL of sulfur hexafluoride, 6 hours face down positioning, and the steamroller maneuver, the patient`s head position was changed so that the gas could efficiently tamponade the retinal break(s). Pre- and post-gas injection laser photocoagulation of break(s) and 360º peripheral retina was applied.
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Results:
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Seventy-two male and 25 female patients were included in this study. The single-operation success rate was 82.5%. Presence of proliferative vitreoretinopathy (Odds ratio: 58.7, 95% CI: 7.8 to 443.5) and delay between initial symptoms and pneumatic retinopexy (Odds ratio: 1.21 per each additional day, 95% CI: 1.07 to 1.37) were the only independent predictors for the failure.
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Conclusion:
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With proper selection of cases, pneumatic retinopexy is a good surgical option for primary rhegmatogenous retinal detachments with acceptable success rate, minimal discomfort to the patient, and minimal surgical risks.
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Attachment:
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2789.pptx
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