Efficacy of PPV Combined with Air Tamponade for Treatment of Inferior Retinal Breaks

Overview

Journal J Ophthalmol

Publisher Wiley

Specialty Ophthalmology

Date 2021 Aug 2

PMID 34336261

Citations 3

Authors

Yong Zhang

Xin Li

Guiping Pan

Zhen Tian

Siwei Liu

Jun Yuan

Affiliations

Soon will be listed here.

Abstract

Purpose: To observe the efficacy and safety of pars plana vitrectomy (PPV) combined with filtered air tamponade in the treatment of rhegmatogenous retinal detachment (RRD) with inferior retinal breaks.

Methods: This retrospective study included 20 patients (20 eyes) with inferior retinal breaks in RRD; all underwent PPV combined with filtered air tamponade. Preoperative examinations included BCVA, IOP, anterior segment, fundus and locations, numbers, and sizes of retinal breaks and ocular B-mode ultrasonography. Postoperative examinations included BCVA, IOP, residual gas volume, retinal reattachment, and complications.

Results: After follow-up for 1 year, the primary retinal reattachment rate was 95% and the final reattachment rate was 100%. Pre- and postoperative BCVA averaged 1.51 ± 0.63 and 0.97 ± 0.58 logMAR, respectively; the difference was statistically significant ( < 0.001). Average pre- and postoperative IOP were not statistically different. The average volume of residual gas on the first day after the surgery was 77.5%; the gas was absorbed in all patients within 2 weeks; no significant postoperative complications were observed.

Conclusion: PPV combined with filtered air tamponade is a safe and effective treatment for RRD with inferior retinal breaks. Notably, the retinal reattachment rate is high, gas absorption is rapid, and incidence of complications is low.

Citing Articles

The efficacious combined treatment of rhegmatogenous retinal detachment (PVR ≤ C2) with inferior breaks using 25-gauge pars plana vitrectomy and air tamponade.

Han G, Huang W, He L, Wei H, Wei L, Huang H Medicine (Baltimore). 2024; 103(39):e39555.

PMID: 39331919 PMC: 11441868. DOI: 10.1097/MD.0000000000039555.

Efficacy of Continuous-Wave Transscleral Cyclophotocoagulation Post-Pars Plana Vitrectomy in Glaucoma Patients: A Retrospective Study from Poland.

Kuciel-Polczak I, Kawka-Osuch M, Krysik K, Dobrowolski D, Janiszewska-Bil D, Wylegala E Med Sci Monit. 2023; 29:e941770.

PMID: 38130054 PMC: 10750432. DOI: 10.12659/MSM.941770.

The cause of redetachment after vitrectomy with air tamponade for a cohort of 1715 patients with retinal detachment: an analysis of retinal breaks reopening.

Zhou C, Gu C, Li B, Wang Y, Hu Y, She X Eye Vis (Lond). 2023; 10(1):9.

PMID: 36732872 PMC: 9896834. DOI: 10.1186/s40662-022-00325-y.

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