Reattachment rate with pneumatic retinopexy vs pars plana vitrectomy for single break rhegmatogenous retinal detachment
Reviewed by Jonathan Chan

This is a post-hoc analysis of two clinical trials, including patients who underwent pneumatic retinopexy (PnR) vs pars plana vitrectomy (PPV) and had met the management of primary rhegmatogenous retinal detachment outcomes randomised trial (PIVOT) criteria with a single break in the detached retina. The primary outcome was the primary reattachment rate (PARR) following PnR vs PPV at one year postoperatively. Primary reattachment rate was achieved in 88.2% (75/85) in the PnR group and 90.9% (60/66) in the PPV group (p=0.6) after one year of follow-up. With additional pathology in the attached area, PARR was achieved in 85% (91/107) and 91.6% (66.72) in the Pnr and PPv groups respectively (p=0.18). The mean postoperative logMAR best corrected vision was 0.19 in the PnR group vs 0.34 in the PPV group (p=0.01). The authors concluded that in patients meeting the PIVOT criteria, PnR is an appropriate first-line treatment providing good functional outcomes without compromising PARR.

Reattachment rate with pneumatic retinopexy versus pars plana vitrectomy for single break rhegmatogenous retinal detachment.
Pecaku A, Melo IM, Shor R, et al.
BRITISH JOURNAL OF OPHTHALMOLOGY
2025;109:113–8.