Pneumatic retinopexy in the real world: A critical reappraisal of the PIVOT trial
<p dir="ltr">In their landmark the Pneumatic Retinopexy versus Vitrectomy for the Management of Primary Rhegmatogenous Retinal Detachment Outcomes Randomized Trial (PIVOT) trial, Hillier et al. challenged conventional surgical practice by demonstrating that pneumatic retinopexy (PnR)...
محفوظ في:
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| مؤلفون آخرون: | , |
| منشور في: |
2025
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إضافة وسم
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| الملخص: | <p dir="ltr">In their landmark the Pneumatic Retinopexy versus Vitrectomy for the Management of Primary Rhegmatogenous Retinal Detachment Outcomes Randomized Trial (PIVOT) trial, Hillier et al. challenged conventional surgical practice by demonstrating that pneumatic retinopexy (PnR) can achieve superior visual outcomes compared to pars plana vitrectomy (PPV), positioning PnR as a compelling first-line option for selected cases of primary rhegmatogenous retinal detachment (RRD). The authors reported a primary anatomic success rate of 80.8% for PnR versus 93.2% for PPV, along with superior visual acuity (VA) and patient-reported outcomes in the PnR group. While PIVOT provides valuable evidence under appropriately controlled conditions, a broader review of real-world data and recent meta-analyses indicates that these results likely overestimate the generalisable efficacy of PnR.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Eye<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1038/s41433-025-04143-z" target="_blank">https://dx.doi.org/10.1038/s41433-025-04143-z</a></p> |
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