Results of Peripheral Vitrectomy Under Air in Rhegmatogenous Retinal Detachment

Abstract

Peripheral vitrectomy under air is safe and effective in cases with RRD. Air eliminates the need for scleral indentation, stabilizes the retina, and allows sufficient clarity for vitrectomy. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:51-54.].

Peripheral Vitrectomy Under Air for Primary Rhegmatogenous Retinal Detachment in Pseudophakic Eyes

“…Peripheral vitrectomy under air is a safe and effective technique for shaving peripheral vitreous in pseudophakic patients with retinal detachment [3,4]. Usually, the surgeon performs shaving under fluid and assisted with scleral indentation.…”

Outcomes of Vitrectomy Under Air for Idiopathic Macular Hole

“…Despite some difficulties and intraoperative complications during the learning curve of this technique, it seems equally safe and In the standard PPV technique, vitreous gel is removed and the intraocular contents are replaced with commercially available BSS. Performing vitreoretinal surgical manipulations at the interface between perfluorocarbon liquid, 10,11,12,13 silicone oil, 14,15,16,17 or air, 17,18,19,20,21,22 and residual vitreous, epiretinal membrane, and retina has been described as interface vitrectomy. 22 In 2005, Quiroz-Mercado et al 11 described a technique for vitrectomy using perfluorocarbon liquids as irrigation fluids for tractional and RRD.…”

“…The residual vitreous was removed by placing the cutter into the vitreous and shaving it until the interface profile was changed with the disappearance of the ring of vitreous as previously described. 21 Vacuum was not applied to the vitreous cutter within the air to avoid plugging with an air lock. 22 Scleral depression during peripheral vitrectomy was not required in the air group.…”

“…The use of vitreous cutters and other instruments at the interface between perfluorocarbon liquid, 10,11,12,13 silicone oil, 14,15,16,17 or air, 17,18,19,20,21 and residual vitreous, epiretinal membrane, and retina has been described as interface vitrectomy. 22 These tamponading substances stabilize the vitreoretinal tissue because of their elevated surface tension and provide a more stable surgical field during removal of the vitreous.…”

“…Air-perfused vitrectomy has been shown to provide some benefits in cases of rhegmatogenous retinal detachment (RRD) and macular diseases. 19,20,21 The aim of this research was to gain insight into the efficacy of air-perfused core and peripheral vitrectomy for full-thickness MH.…”