Rhegmatogenous retinal detachment: 3 year results

Session Details

Session Title: Free Paper Session 8: Vitreoretinal Surgery III

Session Date/Time: Friday 08/09/2017 | 08:00-09:30

Paper Time: 08:06

Venue: Room 111

First Author: : E.Mavrikakis GREECE

Co Author(s): :    S. Kamvasi   S. Christou                          

Abstract Details

Purpose:

To evaluate the functional and anatomical outcomes of eyes that underwent surgical repair for rhegmatogenous retinal detachment (RRD) in our hospital for a period of 3 years by a single surgeon

Setting:

Vitreoretinal Service, Ophthalmology Department, 'G. Gennimatas' Athens General Hospital NHS Trust, Athens, Greece

Methods:

Retrospective review of 125 consecutive patients with RRD. Age, sex, visual acuity before surgery and final, lens status, macula status, tamponade used and method of retinopexy used were recorded. The patients were divided into two groups: “mac on” and “mac off” group.

Results:

71% of the patients were male and 29% female. The mean age was 63 years. In the mac off group (mean PREOPVA – counting fingers) the mean final POSTOPVA was 6/15 (p=0.001). In the mac on group (mean PREOPVA – 6/15) the mean final POSTOPVA was 6/9 (p=0.042). 58,4% were phakic and 41,6% were pseudophakic. The method of retinopexy used included 60% cryopexy, 20% laser retinopexy and 20% combination. 65,6% of RRD’s were mac off and 34,4% mac on. 13, 6% of RRD’s underwent pneumatic retinopexy, 0.9% sclera buckle and 85,5% vitrectomy. In the vitrectomized eyes, C₃F₈ was used in 78,72% of cases, SF₆ in 1,06% and silicone oil in 20.21%. The primary success rate was 93,6% and the secondary success rate 100%.

Conclusions:

By using modern surgical techniques and surgical experience, rhegmatogenous retinal detachment can be treated with high primary success rate resulting in good final visual outcomes.

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