Results of Pars Plana Vitrectomy for Primary Rhegmatogenous Retinal Detachment with PVR Grades A and B in High-myopic Eyes

Overview

Journal Int Ophthalmol

Specialty Ophthalmology

Date 2019 May 27

PMID 31129751

Citations 1

Authors

Ladislav Janco

Katarina Tkacova-Villemova

Anna Matisovska

Maria Mesarosova

Marta Ondrejkova

Alexandra Kollarova

Matus Rehak

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the results of pars plana vitrectomy (PPV) without adjuvant buckling procedures for the primary rhegmatogenous retinal detachment (RRD) with PVR grades A and B in high-myopic eyes.

Methods: A retrospective review included 291 eyes treated for primary RRD from 2008 to 2016. The single surgery success rate (SSSR), the total number of surgeries, outcomes and complications were analysed between group of 67 eyes with high axial myopia (group A) and group of 224 eyes without high myopia (group B).

Results: The mean follow-up was 30.6 ± 22.8 months. The SSSR in group A was 82.1% and in group B was 86.2% (p > 0.05). The final reattachment rate and number of required surgeries were in group A 96.3% (3.1 surgeries) and in group B 96.0% (2.8 surgeries). The initial BCVA improved in group A from 1.58 to 0.58 LogMAR at year 3; and in group B from 1.21 to 0.34 LogMAR. In match-pair analysis of macula-off RRD, no significant difference of the CRT between groups A and B was observed within 3 years of follow-up.

Conclusion: The anatomical success of primary PPV for RRD did not differ between high-myopic and non-high-myopic eyes in PVR grades A and B. However, functional results of high-myopic eyes are worse compared to eyes without high axial myopia.

Citing Articles

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

Tang Y, Lin B, Chen J, Chen D, Wu R BMC Ophthalmol. 2022; 22(1):213.

PMID: 35549685 PMC: 9097233. DOI: 10.1186/s12886-022-02445-4.

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