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Pneumatic Retinopexy for Primary Rhegmatogenous Retinal Detachment: To Steamroll or Not

Rhegmatogenous Retinal Detachment

This is a randomized controlled trial comparing displacement of macula and the rapidity of reattachment of macula between two different positioning techniques after pneumatic retinopexy : Direct technique (patient is positioned so that the bubble is immediately placed directly over the retina break) and Steamroller technique (patient is initially positioned face down for 4-6 hours and subsequently changes their head position so that the bubble is then placed directly over the retina break).

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Conditions de participation

  • Sexe:

    ALL

  • Âges admissibles:

    18 and up

Critères de participation

Inclusion Criteria:

* Primary RRD
* Causative breaks over superior 8 clock hours
* Single break or group of breaks
* No or min proliferative vitreoretinopathy (PVR) (Grade A or B)
* Other breaks or lattice in attached retina are allowed

Exclusion Criteria:

* Retinal break in the inferior 4 clock hours in detached retina
* PVR Grade C or worse
* Significant media opacity (Vitreous hemorrhage, dense cataract, cornea scar, etc)
* Pre-existing ocular pathology \[macula hole (MH), epiretinal membrane (ERM), cystoid macula edema (CME), age-related macula degeneration, myopic degeneration, advanced glaucoma, uveitis, amblyopia etc\] or previous eye trauma with poor baseline vision
* Previous pars plana vitrectomy
* Age ≤18years old
* Inadequate physical or mental competence to maintain the required postoperative head position

Lieu de l'étude

Sunnybrook Health Sciences Centre
Sunnybrook Health Sciences Centre
Toronto, Ontario
Canada

Contactez l'équipe d'étude

Primary Contact

Kenneth Eng, MD FRCSC

[email protected]
416-480-4688
Étude parrainée par
Sunnybrook Health Sciences Centre
Participants recherchés
Plus d'informations
ID de l'étude: NCT04723420