Primary vitrectomy for rhegmatogenous retinal detachment

One hundred and twenty-four eyes with a rhegmatogenous retinal detachment, considered to be at high risk of failure if treated conventionally, underwent vitrectomy and internal tamponade, with or without scleral buckling, as the primary procedure. The retina was reattached in 64.5% of eyes after one...

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Bibliographic Details
Published inGraefe's archive for clinical and experimental ophthalmology Vol. 231; no. 6; p. 344
Main Authors Hakin, K N, Lavin, M J, Leaver, P K
Format Journal Article
LanguageEnglish
Published Germany 01.06.1993
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Cataract - etiology
Child
Female
Follow-Up Studies
Humans
Male
Middle Aged
Recurrence
Retinal Detachment - surgery
Scleral Buckling
Treatment Outcome
Vitrectomy - adverse effects
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Summary:One hundred and twenty-four eyes with a rhegmatogenous retinal detachment, considered to be at high risk of failure if treated conventionally, underwent vitrectomy and internal tamponade, with or without scleral buckling, as the primary procedure. The retina was reattached in 64.5% of eyes after one operation, 75.0% after two, and in 83% of eyes after more than two operations, with no difference in the success rate between those eyes which underwent vitrectomy alone, and those that received adjunctive scleral buckling; duration of surgery was significantly shorter, however, in the former group. Twenty percent of eyes redetached in association with proliferative vitreoretinopathy, and 20% of phakic eyes developed posterior subcapsular lens opacities after surgery. Vitrectomy is now an established method in the management of selected cases of rhegmatogenous retinal detachments.
ISSN:0721-832X
DOI:10.1007/BF00919031