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Outcome of vitrectomy with air tamponade for primary rhegmatogenous retinal detachment

Session Details

Session Title: Vitreoretinal Surgery III

Session Date/Time: Friday 27/09/2013 | 11:00-12:30

Paper Time: 12:12

Venue: Hall 3 (Level 0)

First Author: M.Abdrabbo EGYPT

Co Author(s):    A. Abd El Alim Mohamed              

Abstract Details


To report the anatomical results of primary pars plana vitrectomy (PPV) with air tamponade to repair primary Rhegmatogenous retinal detachments (RRDs).


Benha University , Faculty of Medicine , Ophthalmology Dep. & Ain Shams University , Faculty of Medicine , Ophthalmology Dep.


: 20 consecutive patients (20 eyes) with peripheral retinal tears and new RRDs (within one month) were treated according to the surgical protocol. Patients underwent PPV with fluid-air exchange and endolaser treatment to repair the RRD. Neither long-acting gas nor silicone oil tamponade was combined with PPV. All patients were followed from2-9 months (average 5.5 months). Reattachment of the retina and outcome were compared to the results of previously published studies.


Reattachment was achieved in 19 of 20 eyes (95%) with a single operation, and in al (100%) eyes with 2nd operations. The duration of air tamponade ranged from10-14 days (average 12 days). The number of breaks ranged from 1-4 breaks. The sites of breaks from 8-4 clock hours.


Primary PPV with fluid-air exchange alone and laser treatment is a safe and effective method for repair of primary retinal detachments. The anatomical reattachment rate obtained with this technique appears to be at least as good as those reported in the literature for primary PPV combined with long-acting gas tamponade.

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