Endophotocoagulation in air-filled eye: 'dry out technique', during primary vitrectomy in retinal detachment surgery.

Session Details

Session Title: Free Paper Session 8: Vitreoretinal Surgery III

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

Paper Time: 09:18

Venue: Room 111

First Author: : E.Balì BELGIUM

Co Author(s): :    A. Blommart   B. Immacolata   H. Haider   M. Michez                    

Abstract Details

Purpose:

The purpose of this study was to analyze the outcome of 23 Gauge primary transconjunctival sutureless vitrectomy (TSV-23) for rhegmatogenous retinal detachment (RRD) with a limited intraoperative use of heavy perfluorocarbon liquids (PFCLs) and efficacy of endophotocoagulation in air-filled eye.

Setting:

We studied 124 consecutive records who underwent surgery for RRD at the Clinique du Parc Leopold, Belgium, was conducted.

Methods:

All records had undergone primary TSV-23 with endophotocoagulation treatment of breaks in air-filled eye. In this cohort, there were 59 cases (48%) macula-on and 65 (52%) macula-off. The mean age was 62 years old. The average follow-up was 6 months. They were divided into 3 groups according to tamponade: 46 in air (group1), 57 in SF6 (group 2), 21 in silicon oil (group 3). The main outcome was primary anatomical success rate.

Results:

The primary anatomical success rate was 91% (42/46) in group 1, 84% (48/57) in group 2 and 81% (17/21) in group 3 and for all cases was 86% (107/124). The retention of subretinal PFCLs did not occur in any eye during the follow-up.

Conclusions:

Endodiathermy in air-filled during primary TSV-23 for RRD is an effective approach for primary repair and this technique reduced the side effect due to use of PFCLs.

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