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Primary 23-gauge vitrectomy in patients with pseudophakic rhegmatogenous retinal detachment

Session Details

Session Title: Vitreoretinal Surgery II

Session Date/Time: Thursday 26/09/2013 | 14:30-16:00

Paper Time: 15:50

Venue: Hall 3 (Level 0)

First Author: S.Sacu AUSTRIA

Co Author(s):    S. Rezar   K. Eibenberger   R. Blum   U. Schmidt-Erfurth     

Abstract Details

Purpose:

To evaluate postoperative outcome after 23-gauge vitrectomy with endotamponade in patients with pseudophakic rhegmatogenous retinal detachment.

Setting:

Prospective, non-randomised clinical study. Department of Ophthalmology, Medical University of Vienna

Methods:

55 patients who underwent pseudophakic rhegmatogenous retinal detachment surgery with vitrectomy and endotamponade were included into this study. Patients were followed up up to 1 year. The main study outcomes were the visual acuity, surgical complications and the re-surgery rate.

Results:

Fovea-off retinal detachment was detected in 31 eyes (58%) of all patients preoperatively. A proliferative vitreoretinopathy stage B or C could be observed in 24 eyes (43%). For endotamponade 16% C3F8-gas was used in 73%, 20% SF6-gas in 22% and 16% C2F6-gas in 5% of the patients. In 62% an endolaser was performed during the surgery. In 4 patients a subretinal membrane blue technique was used to find the retinal break. The mean follow-up period was 5.7 months (up to 12 months). After one year of follow-up visual acuity statistical significant increased from 1.0 logMar to 0.1 logMar (p<0.01). In 48 out of these 55 (87%) patients retinal attachment could be achieved after the first surgery treatment whereas in 7 of 55 (13%) patients a second surgery was necessary due to re-detachment of the retina. Analysis of optical coherence tomography showed development of epiretinal membrane in 13 eyes (24%) after a mean time of 5.5  4.2 months.

Conclusions:

This study shows the effectiveness and safety of 23-gauge vitrectomy and gas tamponade. This treatment is associated with good visual and anatomical outcome while the re-operation and complication rate remains low.

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