When things seem blurry, a PIVOT in your vision can bring them back into focus. The aim of this study was to evaluate and compare the results of pneumatic retinopexy (PnR, n=77) and pars plana vitrectomy (PPV=73) as treatment options for primary rhegmatogenous retinal detachment (RRD) involving the superior retina.
Overall, the PIVOT landmark study demonstrated that pneumatic retinopexy is recommended as the initial treatment for eligible superior RRDs, as it offers superior visual acuity, fewer metamorphopsias, and a lower complication rate compared to vitrectomy.
- ETDRS scores for PnR were better than PPV by 4.9 letters at 12 months (79.9 ±10.4 letters vs. 75.0 ±15.2 letters; P=0.024).
- Vertical metamorphopsia scores were superior for the PnR group compared with the PPV group at 12 months (0.14±0.29 vs.0.28±0.42; P=0.026).
- Primary anatomic success at 12 months was achieved by 80.8% of patients undergoing PnR versus 93.2% undergoing PPV (P=0.045), with 98.7% and 98.6%, respectively, achieving secondary anatomic success.