Rhegmatogenous Retinal Detachment

Williamson, Thomas H.

doi:10.1007/978-3-030-68769-4_8

Cited by 2 publications

(2 citation statements)

References 73 publications

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“…[1][2][3] The management of RRD is surgical and the principles of surgery included the relief of the vitreous traction and the break closure. 4 The main surgical interventions currently used are scleral buckle (SB), pars plana vitrectomy (PPV), that could be performed alone or combined, and pneumatic retinopexy (PnR). Although certain clinical presentations may guide the choice towards a surgical approach over another, the management of many common con gurations of RRD remains controversial.…”

Section: Introductionmentioning

confidence: 99%

Two-Port Dry Vitrectomy for Rhegmatogenous Retinal Detachment: a pilot study

Peiretti

Caporossi²,

Tatti

et al. 2023

Preprint

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Objective To evaluate the safety and efficacy of a new surgical technique for the management of primary rhegmatogenous retinal detachment (RRD), consisting of localized PPV near to the retinal break(s), without infusion line, associated with a drainage of subretinal fluid and cryoretinopexy. Methods Multicentric prospective study conducted at the University Hospital of Cagliari and IRCCS Fondazione Policlinico Universitario A. Gemelli, Roma. 20 eyes affected by RRD with the causative retinal break(s) in the superior meridians were enrolled between February 2022 and June 2022. Patients with cataract ≥ 3, aphakia, significant posterior capsule opacification, giant retinal tears, retinal dialysis, history of trauma and PVR ≥ C2 were excluded. All eyes underwent a two-port 25-gauge PPV with localized removal of the vitreous surrounding retinal break(s), followed by 20% SF6 injection and cryopexy. The surgical time was recorded for each procedure. Best corrected visual acuity (BCVA) was measured at baseline and postoperative 6-month. Results Primary anatomic success at 6 months was achieved by 85% of patients. No complications occurred, excepted for three (15%) retinal re-detachments. The average surgical time was 8.61 ± 2.16 minutes. Overall, the difference between pre- and last post-operative mean BCVA was statistically significant. (p 0.02) Conclusions Two-port dry PPV demonstrated safety and efficacy for the treatment of RRD, reaching 85% of anatomical success rate. Although further studies are necessary to confirm the efficacy and long-term benefit of this treatment, we believe that this surgical technique could be considered a valid and safe alternative for the management of primary RRD.

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Section: Introductionmentioning

confidence: 99%

Two-Port Dry Vitrectomy for Rhegmatogenous Retinal Detachment: a pilot study

Peiretti

Caporossi²,

Tatti

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The management of rhegmatogenous retinal detachments is surgical, with the aim of releasing the vitreous traction and closing the retinal break [ 6 ]. Nowadays, the available techniques are pneumatic retinopexy (PnR), scleral buckling (SB), and pars plana vitrectomy (PPV).…”

Section: Introductionmentioning

confidence: 99%

Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results

et al. 2023

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We evaluated a new surgical technique for treating primary rhegmatogenous retinal detachment (RRD), consisting of localized vitrectomy near the retinal break associated with drainage of subretinal fluid without infusion. Twelve eyes of twelve patients with primary RRDs with macula-on superior, temporal, and/or nasal quadrants’ RRD with retinal breaks between 8 and 4 o’clock, pseudophakic or phakic eyes, were enrolled. All eyes underwent a two-port 25-gauge vitrectomy with localized removal of the vitreous surrounding the retinal break(s), followed by a 20% SF6 injection and cryopexy. The difference between pre-operative (T0) and post-operative mean BCVA at 6 months follow-up (T6) was not statistically significant (0.16 logMAR vs. 0.21 logMAR; p = 0.055). Primary anatomic success at 6 months was achieved by 86% of patients. No other complications, except for two retinal re-detachments linked to an incorrect head position of the patients, were recorded. Although further studies are necessary to evaluate the treatment’s efficacy, we believe our technique could be considered a valid alternative for managing primary RRD.

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Rhegmatogenous Retinal Detachment

Cited by 2 publications

References 73 publications

Two-Port Dry Vitrectomy for Rhegmatogenous Retinal Detachment: a pilot study

Two-Port Dry Vitrectomy for Rhegmatogenous Retinal Detachment: a pilot study

Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results

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