Pars Plana Vitrectomy Alone for the Management of Pseudophakic Rhegmatogenous Retinal Detachment with Only Inferior Breaks

Martínez-Castillo, Vicente; García‐Arumí, José; Boixadera, Anna

doi:10.1016/j.ophtha.2016.03.032

Cited by 59 publications

(84 citation statements)

References 25 publications

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“…In selected RRD cases where air was used as gas tamponade, noninferior results to long-acting gas have been reported [5, 7–10]. To the best of our knowledge, the current study is the first report of exclusive use of air as gas tamponade in vitrectomy for RRD.…”

Section: Discussionmentioning

confidence: 75%

“…They suggested that air tamponade should be used in cases involving the superior quadrants. Martínez-Castillo et al conducted three important studies of vitrectomy for RRD with inferior breaks [8–10]. Their results suggested that RRD with inferior breaks could be treated well with vitrectomy even when using air tamponade [9] and that sufficient SRF drainage was an important factor in such cases [10].…”

Section: Discussionmentioning

confidence: 99%

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Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment

Pak

Lee

Kwon

et al. 2017

Journal of Ophthalmology

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Purpose To investigate outcomes of vitrectomy for rhegmatogenous retinal detachment (RRD) using air exclusively as the gas tamponade. Methods This retrospective, interventional, consecutive case series involved reviewing medical records of patients that underwent vitrectomy and gas tamponade for RRD between January 2013 and December 2015. Patients whose eyes were treated exclusively with air tamponade since July 2014 were assigned to the air group, while those treated with heterogeneous gas agents before June 2014 were assigned to the control group. The primary outcome was the primary reattachment rate. Best-corrected visual acuity (BCVA) and duration to detect redetachments were assigned as the secondary outcomes. Results The air group and the control group included 71 and 72 eyes, respectively. The primary reattachment rate was 94.4% in the air group and there was no significant difference with 94.4% in the control group (p = 0.951). BCVA was significantly better in the air group at 1 month (p = 0.021) but not at 3 months postoperatively (p = 0.561). Redetachments were recognized earlier in the air group (9.3 ± 0.5 days) compared with those in the control group (21.3 ± 7.4 days) (p = 0.041). Conclusions In cases of simple RRD with sufficient removal of subretinal fluid, air could be considered for use as gas tamponade. This trial is registered with KCT0002358.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment

Pak

Lee

Kwon

et al. 2017

Journal of Ophthalmology

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“…Based on clinic observation, when the eyes rotated appropriately, the silicone oil or gas could give certain pressure to the retina. Hence, we shrank the inferior retinal break from the previous 4 to 8 o'clock [3, 10–12] to the current 5 to 7 o'clock. Importantly, we found that the primary retinal reattachment rate of each location was higher than 90%.…”

Section: Discussionmentioning

confidence: 99%

“…Martinez-Castillo et al consecutively reported a high primary retinal reattachment rate for pseudophakic RRD patients with inferior breaks after PPV with air/gas tamponade with only 24 hours (93.3%) or even without (90–94%) postoperative facedown position [10–12]. Recently, Chen et al reported that for RRD repair, the primary retinal reattachment rate of PPV with gas tamponade with an adjustable postoperative position (alternative upright or lateral recumbent) was as high as traditional strict facedown position (92.3% versus 89.7%) [13].…”

Section: Introductionmentioning

confidence: 99%

The Safety and Efficacy of Adjustable Postoperative Position after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Zhong

Sun²,

et al. 2017

Journal of Ophthalmology

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Purpose. To report the safety and efficacy of adjustable postoperative position for rhegmatogenous retinal detachment (RRD). Methods. Retrospective review of 536 consecutive RRD eyes that underwent vitrectomy surgery for retina repair from year 2008 to 2014. The retinal breaks were divided into superior, lateral (nasal, temporal, and macular), and inferior locations, according to the clock of breaks. Patients with superior and lateral break location were allowed to have facedown position or lateral decubitus position postoperatively, while patients with inferior break location were allowed to have facedown position. Results. 403 eyes of 400 patients were included. The mean follow-up interval was 22.7 ± 21.3 months. The overall primary retinal reattachment rate was 93.3%. There were 24 (6.0%), 273 (67.7%), and 106 (26.3%) patients with superior, lateral, and inferior break location, respectively. The primary reattachment rate was 95.8%, 92.3%, and 95.3% accordingly. After further divided the break location into subgroups as a function of duration of symptom, postoperative lens situation, number of retinal breaks, and different vitreous tamponade, the primary reattachment rates were all higher than 82%. Conclusion. Adjustable postoperative positioning is effective and safe for RRD repair with different break locations. Choosing postoperative position appropriately according to retinal break locations could be recommended.

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“…RRD caused by superior retinal breaks puts patients in an urgent condition in which prompt surgical intervention is necessary to prevent rapid vision deterioration. After removal of the vitreous, various endotamponade agents, such as air, long-acting gas, and silicone oil, are injected into the vitreous cavity to generate surface tension across the retinal breaks to strengthen retinal reattachment until the retinopexy becomes mature [2, 5, 6]. …”

Section: Introductionmentioning

confidence: 99%

Pars plana vitrectomy with partial tamponade of filtered air in Rhegmatogenous retinal detachment caused by superior retinal breaks

et al. 2017

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BackgroundTo investigate the anatomic and functional outcomes of pars plana vitrectomy (PPV) with partial tamponade of filtered air for rhegmatogenous retinal detachment (RRD) caused by superior retinal breaks.MethodsRetrospective, comparative, consecutive case series study. Patients with RRD caused by superior retinal breaks undergone PPV with partial tamponade (Group A) and whole tamponade (Group B) of filtered air were included. The main outcomes were primary and final success rates, best corrected visual acuity (BCVA), and rate of postoperative cataract surgery.ResultsForty-one patients (41 eyes) were included in Group A and 36 patients (36 eyes) were included in Group B. There were no significant differences in primary or final success rates between Groups A and B (P = 0.618 and P = 1.000, respectively). The patients in Group A experienced quicker postoperative vision improvement (from the Week 1 follow-up) than the patients in Group B (from the Month 3 follow-up). The postoperative cataract surgery rate of Group A (7/31) was lower than that of Group B (13/26) (P = 0.031).ConclusionsPPV with partial tamponade of air is effective in achieving a high anatomic success rate, quicker postoperative vision improvement, and lower rate of postoperative cataract surgery in RRD caused by superior retinal breaks.

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Pars Plana Vitrectomy Alone for the Management of Pseudophakic Rhegmatogenous Retinal Detachment with Only Inferior Breaks

Cited by 59 publications

References 25 publications

Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment

Exclusive Use of Air as Gas Tamponade in Rhegmatogenous Retinal Detachment

The Safety and Efficacy of Adjustable Postoperative Position after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Pars plana vitrectomy with partial tamponade of filtered air in Rhegmatogenous retinal detachment caused by superior retinal breaks

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