E84-Long-term Results of PIVOT and Suprachoroidal Viscopexy for RD Repair

01/12/25 • 52 min

1 Listener

In this episode, Dr. Muni discusses two of his recent publications on repair of retinal detachment. In the first article, he discusses long-term reattachment rates of patients that were studied in the PIVOT trial, showing that both groups of patients who underwent either pneumatic retinopexy or vitrectomy had excellent long-term attachment rates. In the second article, he discusses Suprachoroidal Viscopexy, which is a novel in-office method of repairing retinal attachment, using viscoelastic agents injected in the suprachoroidal space to create a temporary buckling effect.

Discussed Articles:

Chen TS, Motekalem Y, Melo IM, Hillier RJ, Berger AR, Giavedoni LR, Wong DT, Altomare F, Muni RH. Long-Term Redetachment Rates of Pneumatic Retinopexy versus Pars Plana Vitrectomy in Retinal Detachment: A PIVOT Post Hoc Analysis. Ophthalmol Retina. 2024 Aug 23:S2468-6530(24)00397-X. doi: 10.1016/j.oret.2024.08.011. Epub ahead of print. PMID: 39182651.
Muni RH, Melo IM, Demian S, Minelli T, Batawi H, Park J, Pecaku A. In-Office Suprachoroidal Viscopexy for Acute Rhegmatogenous Retinal Detachment. JAMA Ophthalmol. 2024 Dec 12. doi: 10.1001/jamaophthalmol.2024.5202. Epub ahead of print. PMID: 39666366.

Discussed Articles:

Chen TS, Motekalem Y, Melo IM, Hillier RJ, Berger AR, Giavedoni LR, Wong DT, Altomare F, Muni RH. Long-Term Redetachment Rates of Pneumatic Retinopexy versus Pars Plana Vitrectomy in Retinal Detachment: A PIVOT Post Hoc Analysis. Ophthalmol Retina. 2024 Aug 23:S2468-6530(24)00397-X. doi: 10.1016/j.oret.2024.08.011. Epub ahead of print. PMID: 39182651.
Muni RH, Melo IM, Demian S, Minelli T, Batawi H, Park J, Pecaku A. In-Office Suprachoroidal Viscopexy for Acute Rhegmatogenous Retinal Detachment. JAMA Ophthalmol. 2024 Dec 12. doi: 10.1001/jamaophthalmol.2024.5202. Epub ahead of print. PMID: 39666366.

Previous Episode

E83-Systemic Methotrexate and Lower Rate of PVR Formation- Dr. Cindy Chen

Dr. Cindy Chen describes her group’s work on a retrospective review of association of systemic methotrexate therapy and a lower rate of proliferative vitreoretinopathy (PVR) after retinal detachment repair in large cohort of 2674 eligible patients.

Next Episode

E85-EyeNovation Webinar- Double Layer Sign- Dr. Usha Chakravarthy

This episode is a recording of the retina-focused EyeNovation webinar episode which was a collaboration between Canadian Ophthalmological Society and the Canadian Retina Society. Dr. Chakravarthy will provide a background to the double layer sign, its definition and how it is detected. Data to support the presentation will be from the EDNA trial . This study possesses an imaging dataset that was captured longitudinally in over 500 high risk eyes and obtained robust rates of progression to neovascularization as well as time to the event. The presence of the DLS and or other features of intermediate AMD were assessed at baseline and included measurements of length of separation of the RPE from its basement membrane, height of separation and the number of B scans involved. Rates of progression in eyes without and with DLS were computed and models built to assess risk of progression to neovascularization. In addition the DLS and SIRE signs were compared for their contributions to risk of progression. The findings from these analyses and their clinical significance will be discussed .

Make sure to register for the Canadian Retina Society (CRS) annual meeting which will take place in Vancouver, BC from April 25-27, 2025. Go to https://www.crsscr.ca to register.