Retinal Breaks In Retinal Detachment; Plugged with AMG & LASER vs Choroidectomy & LASER Vs LASER

Abstract

Objective: To compare the effectiveness of Human amniotic membrane grafts with LASER vs choroidectomy with LASER vs LASER only in treating retinal breaks in retinal detachments.

Study Design:  We conducted a retrospective cohort study in the department of Ophthalmology Hospital X, spanning over a period of twelve months from 1^st March 2023 to 1^st March 2024. A total of 60 patients, 42 males (70%) and 18 females (30%) with a mean age of 47 years were enrolled in this study and randomly divided into three groups of 20 patients each, in which retinal breaks were treated with AMG and LASER, choroidectomy and LASER and with LASER only respectively. The patients were followed up for six months after surgery.

Results:  Complete anatomical closure was used to gauge the success of the surgery. Patients treated with AMG and LASER achieved full anatomical closure in 90% cases whereas patients who underwent choroidectomy and LASER had anatomical closure in 75% cases. In patients where no such intervention except LASER was done, rates of spontaneous closure were 60% of the cases.

Conclusion: The retinal breaks plugged with AMG had better closure rates than those treated by choroidectomy and those without any intervention.