Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017:2017:5760173.
doi: 10.1155/2017/5760173. Epub 2017 Mar 20.

The Safety and Efficacy of Adjustable Postoperative Position after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Zhong Lin  1 , Jin Tao Sun  2 , Rong Han Wu  1 , Nived Moonasar  3 , Ye Hui Zhou  1
Affiliations

The Safety and Efficacy of Adjustable Postoperative Position after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Zhong Lin et al. J Ophthalmol. 2017.

Abstract

Purpose. To report the safety and efficacy of adjustable postoperative position for rhegmatogenous retinal detachment (RRD). Methods. Retrospective review of 536 consecutive RRD eyes that underwent vitrectomy surgery for retina repair from year 2008 to 2014. The retinal breaks were divided into superior, lateral (nasal, temporal, and macular), and inferior locations, according to the clock of breaks. Patients with superior and lateral break location were allowed to have facedown position or lateral decubitus position postoperatively, while patients with inferior break location were allowed to have facedown position. Results. 403 eyes of 400 patients were included. The mean follow-up interval was 22.7 ± 21.3 months. The overall primary retinal reattachment rate was 93.3%. There were 24 (6.0%), 273 (67.7%), and 106 (26.3%) patients with superior, lateral, and inferior break location, respectively. The primary reattachment rate was 95.8%, 92.3%, and 95.3% accordingly. After further divided the break location into subgroups as a function of duration of symptom, postoperative lens situation, number of retinal breaks, and different vitreous tamponade, the primary reattachment rates were all higher than 82%. Conclusion. Adjustable postoperative positioning is effective and safe for RRD repair with different break locations. Choosing postoperative position appropriately according to retinal break locations could be recommended.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The schematic diagram showing the locations of the retinal breaks. S: superior, T: temporal, I: inferior, N: nasal, h: clock hour.
See this image and copyright information in PMC

References

    1. Gartry D. S., Chignell A. H., Franks W. A., Wong D. Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment uncomplicated by advanced proliferative vitreoretinopathy. The British Journal of Ophthalmology. 1993;77(4):199–203. - PMC - PubMed
    1. Loo A., Fitt A. W., Ramchandani M., Kirkby G. R. Pars plana vitrectomy with silicone oil in the management of combined rhegmatogenous retinal and choroidal detachment. Eye (London, England) 2001;15(Pt 5):612–615. doi: 10.1038/eye.2001.195. - DOI - PubMed
    1. Sharma A., Grigoropoulos V., Williamson T. H. Management of primary rhegmatogenous retinal detachment with inferior breaks. The British Journal of Ophthalmology. 2004;88(11):1372–1375. doi: 10.1136/bjo.2003.041350. - DOI - PMC - PubMed
    1. Shiragami C., Shiraga F., Yamaji H., et al. Unintentional displacement of the retina after standard vitrectomy for rhegmatogenous retinal detachment. Ophthalmology. 2010;117(1):86–92. doi: 10.1016/j.ophtha.2009.06.025. e81. - DOI - PubMed
    1. Schneider E. W., Geraets R. L., Johnson M. W. Pars plana vitrectomy without adjuvant procedures for repair of primary rhegmatogenous retinal detachment. Retina. 2012;32(2):213–219. doi: 10.1097/IAE.0b013e3182278b29. - DOI - PubMed

LinkOut - more resources