Pars plana vitrectomy in aphakic and pseudophakic retinal detachment

Abstract

Eighty-two consecutive aphakic or pseudophakic retinal detachments were treated by buckling and vitrectomy procedures. Functional results (86.6%) and the incidence of proliferative vitreoretinopathy (11%) were comparable with reports of cases treated by the classic method.

Pseudophakic Retinal Detachment

“…Neverthe less postoperative aggravation of PVR was a problem, especially in grade B cases, an obser vation which agrees well with previously pub lished findings [20], To the best of our knowl edge, it has not been demonstrated that vit rectomy can reduce the risk of PVR aggravation [21], and it is even possible that it might increase it [22].…”

Retrospective Comparison of 25-Gauge Transconjunctival Sutureless Vitrectomy to 20-Gauge Vitrectomy for the Repair of Pseudophakic Primary Inferior Rhegmatogenous Retinal Detachment

“…[7][8][9][10][11][12][13][14][15][16][17][18][19] In the 10 eyes requiring more than one surgery, 9 were macula-off at presentation (90%). Average preoperative VA in these eyes was 1.91.…”

Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment (SPR Study): Design issues and implications

“…A review of the current literature disclosed more than 20 series of primary vitrectomy for RRD in which the indications for vitrectomy are similar to the inclusion criteria of the SPR Study [3,8,9,10,13,14,15,16,19,20,21,22,23,25,31,32,33,39,41,44,45]. The reattachment rates with one operation vary between 64% [21] and 100% [9,14].…”

“…For example, primary vitrectomy followed by additional scleral buckling was either never used at all [8,10,21,23], was performed in some or selected cases [9,19,20,31,32] or was applied in all cases [3,14,41,44,45]. It is unclear whether scleral buckling plus primary vitrectomy increases the success rate or adds further complications to the procedure, as comparable success rates have been achieved with and without scleral buckling.…”

“…vitrectomy as the first intraocular surgery) in RRD have expanded to include less complicated situations which would have previously been treated with scleral buckling techniques [24,40,41]. During the past 15 years, primary vitrectomy for RRD has rapidly gained popularity, in contrast to the decreasing number of scleral buckling procedures performed [1].…”