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. 2016:2016:2193518.
doi: 10.1155/2016/2193518. Epub 2016 Jul 13.

Success Rates of Vitrectomy in Treatment of Rhegmatogenous Retinal Detachment

Yasser Helmy Mohamed  1 , Kozue Ono  2 , Hirofumi Kinoshita  2 , Masafumi Uematsu  2 , Eiko Tsuiki  2 , Azusa Fujikawa  2 , Takashi Kitaoka  2
Affiliations

Success Rates of Vitrectomy in Treatment of Rhegmatogenous Retinal Detachment

Yasser Helmy Mohamed et al. J Ophthalmol. 2016.

Abstract

Aim. To investigate the anatomical success rates of pars plana vitrectomy (PPV) after primary rhegmatogenous retinal detachment (RRD). Methods. This retrospective study was conducted between December 2008 and October 2014 at Nagasaki University Hospital. The preoperative data recorded included the lens status, location of the retinal tear, whether a tear was visualized, presence of multiple tears, macula status, presence of peripheral lattice retinal degeneration, and best-corrected visual acuity (BCVA). The primary outcome measures were anatomical (primary and final) and functional success (visual acuity better than 6/60). Results. This study evaluated 422 eyes of 411 patients with a mean age of 57.7 ± 11.2 years. The single-operation reattachment rate (primary anatomical success) was 89.8%. The final anatomical success rate was 100% after 2-6 operations (mean = 3.14 ± 1.03). Functional success rate after the primary reattachment operation was 96.7%, while it was 97.2% at the end of the follow-up. Multiple logistic regression analysis of the possible risk factors for the primary anatomical failure showed a significant relation with the 25 G instruments (P = 0.002) and the presence of multiple tears (P = 0.01). Conclusion. The primary anatomical success of PPV for primary uncomplicated RRD was 89.8% and the final anatomical success rate was 100%.

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Figures

Figure 1
Figure 1
Log MAR of BCVA preop and postoperatively. ∗Wilcoxon signed rank test P < 0.001.
Figure 2
Figure 2
Primary success rate by years of study using PPV (23 and 25 G).
See this image and copyright information in PMC

References

    1. Mitry D., Charteris D. G., Fleck B. W., Campbell H., Singh J. The epidemiology of rhegmatogenous retinal detachment: geographical variation and clinical associations. British Journal of Ophthalmology. 2010;94(6):678–684. doi: 10.1136/bjo.2009.157727. - DOI - PubMed
    1. Ghazi N. G., Green W. R. Pathology and pathogenesis of retinal detachment. Eye. 2002;16(4):411–421. doi: 10.1038/sj.eye.6700197. - DOI - PubMed
    1. Wong C. W., Wong W. L., Yeo I. Y. S., et al. Trends and factors related to outcomes for primary rhegmatogenous retinal detachment surgery in a large asian tertiary eye center. Retina. 2014;34(4):684–692. doi: 10.1097/IAE.0b013e3182a48900. - DOI - PubMed
    1. Ahmadieh H., Moradian S., Faghihi H., et al. Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation-report no. 1. Ophthalmology. 2005;112(8):1421–1429. doi: 10.1016/j.ophtha.2005.02.018. - DOI - PubMed
    1. Escoffery R. F., Olk R. J., Grand M. G., Boniuk I. Vitrectomy without scleral buckling for primary rhegmatogenous retinal detachment. American Journal of Ophthalmology. 1985;99(3):275–281. doi: 10.1016/0002-9394(85)90356-3. - DOI - PubMed

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