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. 2022 May 12;22(1):213.
doi: 10.1186/s12886-022-02445-4.

Outcomes of 25-gauge pars plana vitrectomy alone with air tamponade for the management of rhegmatogenous retinal detachment with inferior breaks

Yongping Tang  1   2 , Bo Lin  1   2 , Jing Chen  1   2 , Daosen Chen  3 , Ronghan Wu  4   5
Affiliations

Outcomes of 25-gauge pars plana vitrectomy alone with air tamponade for the management of rhegmatogenous retinal detachment with inferior breaks

Yongping Tang et al. BMC Ophthalmol. .

Abstract

Background: This study was investigated the surgical outcomes of primary rhegmatogenous retinal detachment (RRD) with inferior retinal breaks (IRBs) that were repaired by 25-gauge pars plana vitrectomy (PPV) with air tamponade.

Methods: This retrospective review included 81 consecutive patients who had RRD with IRBs and underwent PPV with air tamponade in our hospital from January 2017 to January 2020. The main outcomes were single surgery anatomical success (SSAS) rate, postoperative best-corrected visual acuity (BCVA), and complications.

Results: The patient population consisted of 29 women and 52 men (mean age, 52.12 years); the mean follow-up interval was 8.88 months. The mean number of affected quadrants was 1.65 (range, 1-4 quadrants) and the mean number of breaks was 3.25. A single break was present in 20 cases (24.7%); two to 10 breaks were present in 61 (75.3%) cases. The SSAS rate was 91.36% (74/81) and the final anatomical success rate was 96.30% (78/81). More than half of the patients had BCVA < 0.3 logarithm of the minimum angle of resolution at the last follow-up. Axial length and patient age were candidate risk factors for redetachment (axial length, p = 0.03; age, p = 0.002). Postoperative complications included macular epiretinal membrane formation in one patient, lens opacity in three patients, and clinically significant macular edema in one patient.

Conclusions: PPV with air tamponade may be effective for the treatment of primary RRD with IRBs. Extensive preoperative discussion may be necessary for young patients and patients with particularly long axial length.

Keywords: Air tamponade; Inferior retinal break; Pars plana vitrectomy; Rhegmatogenous retinal detachment.

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Conflict of interest statement

All authors declare no competing interests with respect to this study.

Figures

Fig. 1
Fig. 1
Visual outcomes of patients who underwent PPV plus air tamponade for RRD. Postoperative BCVA improved from 1 week after surgery onwards; significant differences were found at 1 month postoperatively and at the last follow-up, compared with preoperative BCVA (***: P < 0.001, W = week, M = month). (RRD, rhegmatogenous retinal detachment; PPV, pars plana vitrectomy; BCVA, best-corrected visual acuity)
See this image and copyright information in PMC

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