Abstract：
OBJECTIVE: This study aims to compare the outcomes of pneumatic retinopexy (PnR) versus pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD).
METHODS: A systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. An electronic search was conducted identifying six comparative studies of PnR versus PPV for RRD enrolling 1,061 patients. The primary outcome was visual acuity (VA). Anatomical success and complications were the secondary outcomes.
RESULTS: No statistically significant difference was observed in VA between the groups. There was a statistically significant difference in the odds of re-attachment favoring PPV over PnR (odds ratio [OR] = 0.29, P < 0.00001). No statistically significant difference was found in final anatomical success (OR = 1.00, P = 1.00) and the development of cataracts (OR = 0.34, P = 0.61). Other complications, including retinal tears and postoperative proliferative vitreoretinopathy, were more frequently reported in the PnR group.
CONCLUSIONS: PPV has a higher rate of primary reattachment compared to PnR for treating RRD with comparable final anatomical success, complications, and VA outcomes. [Ophthalmic Surg Lasers Imaging Retina 2023;54:354-361.].
METHODS: A systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. An electronic search was conducted identifying six comparative studies of PnR versus PPV for RRD enrolling 1,061 patients. The primary outcome was visual acuity (VA). Anatomical success and complications were the secondary outcomes.
RESULTS: No statistically significant difference was observed in VA between the groups. There was a statistically significant difference in the odds of re-attachment favoring PPV over PnR (odds ratio [OR] = 0.29, P < 0.00001). No statistically significant difference was found in final anatomical success (OR = 1.00, P = 1.00) and the development of cataracts (OR = 0.34, P = 0.61). Other complications, including retinal tears and postoperative proliferative vitreoretinopathy, were more frequently reported in the PnR group.
CONCLUSIONS: PPV has a higher rate of primary reattachment compared to PnR for treating RRD with comparable final anatomical success, complications, and VA outcomes. [Ophthalmic Surg Lasers Imaging Retina 2023;54:354-361.].
摘要：
目的：本研究旨在比较充气视网膜固定术（PnR）与平坦部玻璃体切除术（PPV）治疗孔源性视网膜脱离（RRD）的疗效。
方法：根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行系统评价和荟萃分析。进行了电子搜索，确定了6项PnR与PPV的比较研究，用于RRD招募1,061名患者。主要结果是视力（VA）。解剖成功和并发症是次要结果。
结果：两组之间在VA中没有观察到统计学上的显着差异。与PnR相比，PPV的再依恋几率差异有统计学意义（比值比[OR]=0.29，P<0.00001）。最终解剖成功率（OR=1.00，P=1.00）和白内障的发展（OR=0.34，P=0.61）无统计学差异。其他并发症,包括视网膜撕裂和术后增生性玻璃体视网膜病变，在PnR组中更频繁地报告。
结论：与PnR相比，PPV在治疗RRD时具有更高的原发性再连接率，具有相当的最终解剖学成功率。并发症,和VA结果。[眼科手术激光成像视网膜2023；54：xx-xx。].
方法：根据系统评价和荟萃分析（PRISMA）指南的首选报告项目进行系统评价和荟萃分析。进行了电子搜索，确定了6项PnR与PPV的比较研究，用于RRD招募1,061名患者。主要结果是视力（VA）。解剖成功和并发症是次要结果。
结果：两组之间在VA中没有观察到统计学上的显着差异。与PnR相比，PPV的再依恋几率差异有统计学意义（比值比[OR]=0.29，P<0.00001）。最终解剖成功率（OR=1.00，P=1.00）和白内障的发展（OR=0.34，P=0.61）无统计学差异。其他并发症,包括视网膜撕裂和术后增生性玻璃体视网膜病变，在PnR组中更频繁地报告。
结论：与PnR相比，PPV在治疗RRD时具有更高的原发性再连接率，具有相当的最终解剖学成功率。并发症,和VA结果。[眼科手术激光成像视网膜2023；54：xx-xx。].
