Session Title: Vitreoretinal Surgery I
Session Date/Time: Thursday 26/09/2013 | 11:00-12:30
Paper Time: 12:12
Venue: Hall 3 (Level 0)
First Author: M.Mikhail UK
Co Author(s): J. Ng M. Galea Z. Koshy
Rhegmatogenous retinal detachment (RRD) with inferior breaks are usually treated by scleral buckling or pars plana vitrectomy (PPV) or combination of both. Previous literature has suggested that a good success rate could be achieved with PPV, gas and posture alone in cases of primary RRD. We report our results with this principle of management.
University Hospital Ayr, NHS Ayrshire and Arran, UK
A retrospective non-comparative study of 31 consecutive patients with inferior break RRD was conducted. All patients with RRD having a break within the inferior 4 clock hours were included, either primary (80% of eyes) or redetachment. All patients underwent a standard 3-port 23-gauge PPV with gas or silicone oil (1300cs) tamponade without supplementary scleral buckling by a single surgeon. All patients had postured either face up or lying on their side. Retinectomy was performed when necessary. The mean follow-up was 12 months. The primary and final anatomic success rate, visual acuity and complications were recorded and analyzed.
Primary anatomic success rate was achieved in 24 of 32 eyes (75%) and the final anatomic success rate was 91%. The most common cause of redetachment was proliferative vitreo-retinopathy (PVR). The best-corrected visual acuity at final follow-up was improved or remained stable in 21 eyes (70%). 50% of patients had vision of 6/36 or better at final follow up review compared to 33% preoperatively.
Vitrectomy without scleral buckling or heavy tamponade for inferior break RD shows comparable results with surgery using buckling/heavy tamponade.