Anatomical Success Rate of Pars Plana Vitrectomy for Treatment of Complex Rhegmatogenous Retinal Detachment

Overview

Journal BMC Ophthalmol

Publisher Biomed Central

Specialty Ophthalmology

Date 2016 Dec 13

PMID 27938367

Citations 19

Authors

Xhevat Lumi

Zala Luznik

Goran Petrovski

Beata Eva Petrovski

Marko Hawlina

Affiliations

Soon will be listed here.

Abstract

Background: Pars plana vitrectomy (PPV) is preferred surgical procedure for the management of complex rhegmatogenous retinal detachment (RRD). The purpose of this study was to evaluate the anatomical results of primary PPV for the treatment of primary complex RRD and to determine the influence of lens status, tamponading agent, preoperative proliferative vitreoretinopathy (PVR) and axial length (AL) of the eye upon the anatomical outcome.

Methods: A retrospective consecutive chart analysis was performed on 117 eyes from 117 patients with complex RRD managed with PPV. Fifty-nine eyes were phakic and 58 pseudophakic eyes. All patients had a minimum follow-up period of 12 months. Eyes were classified into groups using independent variables (first classification based upon lens status and tamponade used, second classification based upon lens and PVR status and third classification based upon AL of the eye). The groups were compared for anatomical outcomes (dependent variables) using nonparametric- or, in case of normally distributed data, parametric- statistical tests.

Results: Retinal reattachment rate in phakic eyes was 94.9% compared to 93.1% in pseudophakic, with no statistically significant difference between the two. The overall retinal reattachment rate with single surgery was 94.0%. Final reattachment rate was 97.4%. In case of established PVR ≥ C1, the reattachment rate was not statistically different (92.6%) from eyes with no PVR (91.1%) irrespective of lens status. A statistically significant difference was found between redetachment rates only between phakic eyes with gas tamponade compared to silicon oil (SO) (p = 0.001). Reattachment rate proved to be similar in both AL groups (≤24 mm and > 24 mm).

Conclusions: High anatomical success rate of primary vitrectomy for complex RRD with either gas or SO tamponade was achieved in phakic as well as pseudophakic eyes irrespective of AL of the eye.

Citing Articles

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Gu R, Zhao J, Shi J, Zhu H, Jiang C Quant Imaging Med Surg. 2025; 15(2):1613-1620.

PMID: 39995731 PMC: 11847211. DOI: 10.21037/qims-24-1460.

Outcomes of Primary Vitrectomy for Rhegmatogenous Retinal Detachment With No Postoperative Positioning.

Babel A, Xu K, Chin E, Almeida D J Vitreoretin Dis. 2024; 8(3):253-256.

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Management, risk factors and treatment outcomes of rhegmatogenous retinal detachment associated with giant retinal tears: scoping review.

Quiroz-Reyes M, Babar Z, Hussain R, Loh Z, Quiroz-Gonzalez E, Quiroz-Gonzalez M Int J Retina Vitreous. 2024; 10(1):35.

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Evaluation of the (Baha) technique of scleral indentation using a self-retained scleral indenter during vitrectomy surgery: a randomized trial.

El Baha S, Ghandour M, Ahmed I Int Ophthalmol. 2024; 44(1):92.

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Early versus Late Pars Plana Vitrectomy in Vitreous Hemorrhage: A Systematic Review.

Confalonieri F, Barone G, Ferraro V, Ambrosini G, Gaeta A, Petrovski B J Clin Med. 2023; 12(20).

PMID: 37892789 PMC: 10607253. DOI: 10.3390/jcm12206652.

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