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April 8, 2026Acta Ophthalmologica0 citationsOpen Access

Three hundred sixty‐degree prophylactic laser retinopexy versus focal laser during rhegmatogenous retinal detachment repair: A systematic review and meta‐analysis

LYLuke M. YaldoUniversity of Miami ATAlbert C. TingUniversity of Miami SPSaif PashaCarilion Clinic

Key Points

This research aims to compare the effectiveness of 360-degree prophylactic laser retinopexy versus focal laser during rhegmatogenous retinal detachment repair.
Conducted a systematic review and meta-analysis
Analyzed observational evidence
Evaluated post-operative complications and visual acuity outcomes
360-degree laser retinopexy associated with higher SSAS
No measurable increase in post-operative complications
No significant improvement in visual acuity outcomes observed

Abstract

Adjunctive 360-degree laser retinopexy during PPV for RRD was associated with higher SSAS without a measurable increase in post-operative complications. However, no improvement in visual acuity outcomes was observed. Given the predominance of observational evidence, further well-designed randomized trials are warranted to clarify the magnitude of benefit.

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