Surgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures

Overview

Journal Clin Ophthalmol

Publisher Dove Medical Press

Specialty Ophthalmology

Date 2021 Jun 11

PMID 34113072

Citations 2

Authors

Koichi Nishitsuka

Madoka Nakamura

Katsuhiro Nishi

Hiroyuki Namba

Yutaka Kaneko

Hidetoshi Yamashita

Affiliations

Soon will be listed here.

Abstract

Purpose: To compare the surgical outcomes of vitreous surgery for rhegmatogenous retinal detachment (RRD) after two different peripheral vitreous-shaving techniques are performed.

Methods: We reviewed 269 eyes with RRD that were treated with a 25-gauge vitrectomy by a single surgeon between June 2015 and May 2020. The exclusion criteria for the proposed air tamponade selection were as follows: more than two weeks since RRD onset, giant retinal tears, a history of complications following cataract surgery, high myopia, and proliferative vitreoretinopathy classified as grade C or higher. We examined the differences in the therapeutic effect between shaving under slit lamp microscope illumination (group A) and shaving under a wide-angle viewing system (group B).

Results: A total of 269 eyes were included in this study, with 146 eyes in group A and 123 eyes in group B. The primary anatomical success rates did not differ between group A (97.3%; 142/146 eyes) and group B (97.6%; 120/123 eyes; = 0.102). However, the surgical time was significantly longer in group A (60.2 ± 17.1 min) than that in group B (46.9 ± 12.6 min) (P < 0.001). The multiple linear regression analysis revealed that surgical time was significantly correlated with using the wide-angle noncontact viewing system for vitreous shaving (adjusted = 0.248; beta [standard partial regression coefficient] = -0.447, < 0.001), the number of retinal breaks (beta = 0.182, = 0.001), and the quadrant of retinal detachment (beta = 0.205, < 0.001).

Conclusion: The surgical outcomes were similar regardless of the shaving procedure performed, and the surgical time was shortened by using the wide-angle noncontact viewing system for vitreous shaving.

Citing Articles

Efficacy of vitrectomy with air tamponade for rhegmatogenous retinal detachment: a prospective study.

Nishi K, Nakamura M, Nishitsuka K Sci Rep. 2023; 13(1):10790.

PMID: 37402777 PMC: 10319714. DOI: 10.1038/s41598-023-37693-x.

Selection Criteria for Air Tamponade During Vitrectomy for Rhegmatogenous Retinal Detachment.

Nakamura M, Nishi K, Nishitsuka K Clin Ophthalmol. 2022; 16:981-986.

PMID: 35386614 PMC: 8977474. DOI: 10.2147/OPTH.S359936.

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