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Results of rhegmatogenous retinal detachment with inferior breaks treated with pars plana vitrectomy

Session Details

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        

Abstract Details

Purpose:

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.

Setting:

University Hospital Ayr, NHS Ayrshire and Arran, UK

Methods:

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.

Results:

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.

Conclusions:

Vitrectomy without scleral buckling or heavy tamponade for inferior break RD shows comparable results with surgery using buckling/heavy tamponade.

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