SURGICAL OUTCOMES OF 25-GAUGE PARS PLANA VITRECTOMY USING AIR AS AN INTERNAL TAMPONADE FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT

Purpose To assess the occurrence of peripheral vitreoschisis-induced vitreous cortex remnants (p-VCRs) in primary rhegmatogenous retinal detachment (RD) and investigate whether the presence of p-VCRs results in a greater risk of RD recurrence, secondary to Proliferative Vitreoretinopathy (PVR) development after pars plana vitrectomy (PPV). Methods Patients who underwent PPV for primary rhegmatogenous RD between January 2016 and December 2018 were included. The presence of residual p-VCRs was confirmed intraoperatively using triamcinolone acetonide (TA). Patients with p-VCRs were divided into two groups: Group A comprised of patients who underwent PPV without p-VCR removal, while Group B included patients who underwent PPV with p-VCR removal. Results Four hundred-thirteen eyes with evidence of p-VCR were analyzed. Two-hundred-twenty-three eyes underwent PPV without VCR removal (Group A), while 190 eyes underwent PPV with p-VCR removal (Group B). Primary anatomical success was 91.5% in the Group A and 95.4% in the group B. Retinal re-detachment due to PVR occurred in 17 (7.6%) eyes in Group A and in four (2.1%) eyes in Group B within the first 3 months (p = 0.01). Among group A, in 11 eyes, there was a diffuse posterior PVR grade C, while six eyes were focal PVR grade C. In Group B, we observed four retinal re-detachment due to focal PVR grade C. Conclusion The presence of p-VCRs seems to be associated with a higher incidence of PVR development and might also result in more complex RD recurrence, this suggests the need for more aggressive VCRs removal during the first surgery.

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Evaluation of rhegmatogenous retinal detachment treatment by pars plana vitrectomy alone versus pars plana vitrectomy with a scleral buckle

Menoufia Medical Journal ◽

10.4103/1110-2098.126142 ◽

2013 ◽

Vol 26 (2) ◽

pp. 122 ◽

Cited By ~ 1

Author(s):

AdelG Zaky ◽

SaberH El Sayed ◽

AminF Ellakwa ◽

HamoudaH Ghoraba ◽

KhaledG Said

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Rhegmatogenous Retinal Detachment ◽

Scleral Buckle ◽

Pars Plana

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Properties of Gases Used in Vitrectomy Surgery in Rhegmatogenous Retinal Detachment

Güncel Retina Dergisi (Current Retina Journal) ◽

10.37783/crj-0160 ◽

2019 ◽

pp. 172-175

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Visual Loss ◽

Rhegmatogenous Retinal Detachment ◽

Vitreoretinal Surgery ◽

Scleral Buckle ◽

Pneumatic Retinopexy ◽

The World ◽

Pars Plana ◽

Vitrectomy Surgery

Despite improvements in vitreoretinal surgery techniques, rhegmatogenous retinal detachment is still one of the major causes of visual loss in the world. Pneumatic retinopexy (PR), scleral buckle, and pars plana vitrectomy (PPV) are the modalities that are used in the treatment of retinal detachment. Intraocular gases, which are frequently used in PR and PPV, are indispensable molecules due to their tamponade effects. In order to get favorable postoperative outcomes, the proper type of gas selection should be made by considering the properties of the gases, indications, potential complications, and findings of the patients together.

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