Primary Vitrectomy Alone for Repair of Retinal Detachments Following Cataract Surgery

Ma, Speicher; Ad, Fu; Jp, Martin; MA, von Fricken

doi:10.1097/00006982-200009000-00005

Cited by 84 publications

(23 citation statements)

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“…Vitrectomy is suggested as the substitute for SB in the uncomplicated cases for its ability to remove the vitreous traction bands and RPE cells which may cause post-operative PVR[38,39]. However, this meta-analysis did not confirm this advantage of vitrectomy.…”

Section: Discussionmentioning

confidence: 87%

Surgical Complications of Primary Rhegmatogenous Retinal Detachment: A Meta-Analysis

Liu

et al. 2015

PLoS ONE

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BackgroundTo investigate the surgical complications of scleral buckling (SB) and pars plana vitrectomy (PPV) performed on primary rhegmatogenous retinal detachment (RRD) and to discover which surgical procedures bring fewer complications.MethodsAn electronic literature search using the PubMed database, ISI Web of Knowledge and the Cochrane Central Register of Controlled Trials to identify randomized controlled trials and observational studies comparing SB with PPV on primary RRD. Outcome measures included intra-operative complications and early and late post-operative complications.ResultsDuring the operation, significantly less subretinal hemorrhage occurred in the PPV group than in the SB group (OR = 4.71; 95%CI, 1.33–16.64; p = 0.02) and the hypotony incidence was significantly higher in the SB group (OR = 18.24; 95%CI, 2.37–140.44; p = 0.005); however, the occurrence of iatrogenic breaks was significantly lower in the SB group (OR = 0.05; 95%CI, 0.01–0.21; p<0.0001). In the early stage of post-operation, significantly higher incidence of choroidal detachment was identified in the SB group than in the PPV group (OR = 10.19; 95%CI, 2.36–44.09; p = 0.002); patients undergoing SB had significantly higher odds of residual subretinal fluid (OR = 14.71; 95%CI, 1.84–117.32; p = 0.01); the occurrence of high intraocular pressure was significantly lower in the SB group (OR = 0.46; 95%CI, 0.23–0.89; p = 0.02); and no significant difference was shown in the incidence of epithelia defect (p = 0.37) between the two groups. In the late stage of post-operation, the incidence of diplopia/extraocular muscle dysfunction was significantly higher in the SB group (OR = 4.04; 95%CI, 1.30–12.52; p = 0.02); and significantly less cataract was observed in the SB group (OR = 0.20; 95%CI, 0.14–0.30; p<0.00001); no significant difference was found in the incidences of cystoid macular edema (p = 0.65), macular pucker (p = 0.52), post-operative proliferative vitreoretinopathy (p = 0.73) and epiretinal membrane (p = 0.47) in other late post-operative complications.ConclusionsThis meta-analysis suggests that PPV could be considered as potential surgical management on primary RRD.

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Section: Discussionmentioning

confidence: 87%

Surgical Complications of Primary Rhegmatogenous Retinal Detachment: A Meta-Analysis

Liu

et al. 2015

PLoS ONE

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“…showed 80% of eyes achieve 20/40 vision or better. [3738] Bourlh et al . found the mean final BCVA in macula-off eyes to be 20/73.…”

Section: Discussionmentioning

confidence: 99%

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment

Chaturvedi

Basham

Rezaei

2014

Indian J Ophthalmol

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Purpose:To review the characteristics and outcomes of patients who underwent pars plana vitrectomy (PPV) with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% C3F8 gas for rhegmatogenous retinal detachment (RRD).Materials and Methods:A retrospective review of a consecutive series of patients who underwent primary repair of RRD by PPV with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% perfluoropropane (C3F8) was conducted. Patients with less than 3 months follow-up, previous retinal surgery, and higher than grade B proliferative vitreoretinopathy were excluded.Results:Ninety-one eyes were included in the study. The mean age was 60.1 years. The mean follow-up was 13.7 months. The macula was detached in 63% (58/91) of the eyes. The reattachment rate after one surgical procedure was 95% (86/91) while overall reattachment rate was 100%. There was no statistically significant difference between reattachment rates of superior, nasal/temporal, or inferior RRDs. The mean final best corrected visual acuity (BCVA) was 20/40. Of all the patients, 66% of patients with macula-off RRDs had a final BCVA of 20/40 or better.Conclusions:PPV with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% C3F8 leads to successful anatomical reattachment with visual improvement in patients with primary RRD.

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“…Whether it is necessary to support retinal breaks with a scleral buckling during PPV has been a matter of some debate in the literature. The reports listed in table 1 are the assessments of surgical outcomes without any scleral buckling during PPV [3, 6, 10,12,13,14,15,16]. Interestingly, the first of these reports, by Escoffery et al[6], is the only one in which a long-acting gas or silicone oil tamponade was not used.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, the first of these reports, by Escoffery et al[6], is the only one in which a long-acting gas or silicone oil tamponade was not used. In the other reports [3, 10,12,13,14,15,16], such tamponades were used in all or some of the cases depending on the location, size, or number of the breaks. Indication criteria for long-acting gas tamponade were unclear and inconsistent between authors.…”

Section: Discussionmentioning

confidence: 99%

Pars Plana Vitrectomy without Long-Acting Gas Tamponade for Primary Rhegmatogenous Retinal Detachment

2004

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Purpose: To report the anatomical and visual results of primary pars plana vitrectomy (PPV) without long-acting gas tamponade to repair primary rhegmatogenous retinal detachments (RRDs). Methods: Twenty-seven consecutive patients (27 eyes) with peripheral retinal tears and new RRDs 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 from 6 to 26 months with an average follow-up of 11 months. Reattachment of the retina and visual outcome were compared to the results of previously published studies. Results: Reattachment was achieved in 24 of 27 eyes (89%) with a single operation, and in all 27 (100%) eyes, the retina was ultimately reattached with subsequent operations. The median initial visual acuity was 0.4, and the median final visual acuity was 1.0. Conclusions: Primary PPV with fluid-air exchange alone and laser treatment is a safe, effective method for the repair of primary retinal detachments. The anatomical reattachment rate and the visual acuity obtained with this technique appear 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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Primary Vitrectomy Alone for Repair of Retinal Detachments Following Cataract Surgery

Abstract: Primary pars plana vitrectomy is a highly effective treatment modality for the repair of RD following cataract surgery, and appears to be refractively neutral.

Cited by 84 publications

References 0 publications

Surgical Complications of Primary Rhegmatogenous Retinal Detachment: A Meta-Analysis

Surgical Complications of Primary Rhegmatogenous Retinal Detachment: A Meta-Analysis

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment

Pars Plana Vitrectomy without Long-Acting Gas Tamponade for Primary Rhegmatogenous Retinal Detachment

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Primary Vitrectomy Alone for Repair of Retinal Detachments Following Cataract Surgery

Abstract: Primary pars plana vitrectomy is a highly effective treatment modality for the repair of RD following cataract surgery, and appears to be refractively neutral.

Cited by 84 publications

References 0 publications

Surgical Complications of Primary Rhegmatogenous Retinal Detachment: A Meta-Analysis

Surgical Complications of Primary Rhegmatogenous Retinal Detachment: A Meta-Analysis

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C 3 F 8 ) for retinal detachment

Pars Plana Vitrectomy without Long-Acting Gas Tamponade for Primary Rhegmatogenous Retinal Detachment

Contact Info

Product

Resources

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Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment