The Outcomes of Recurrent Retinal Detachment Surgery and the Effect of the First Surgeon to the Final Outcomes

Abstract

Objectives: To evaluate the outcomes of vitreoretinal surgery in patients with recurrent retinal detachment (RD) and compare whether these outcomes differ regarding the surgeon who carried out the first surgery. Methods: The medical records of the recurrent RD patients who underwent vitrectomy between January 2014 and December 2016 were reviewed for this retrospective single-surgeon study. The included patients had a postoperative follow-up period of at least 12 months. If the first surgery was carried out by the same surgeon, then the patients were included in group A, and if the patient was a referral patient and the first surgery was carried out by another surgeon, then the patient was included in group B. Primary outcome measure was the anatomical success at month 12. Results: There were 12 eyes (20.7%) in group A and 46 eyes (79.3%) in group B. The anatomical success after a single secondary operation was 67.2% in the whole group. It was 75.0% and 65.2% in groups A and B, respectively (p=0.4). Final anatomical success after multiple surgeries was achieved in 46 of the 58 patients (77.6%) in the whole group. The final anatomical success was 91.7% and 73.9% in group A and B, respectively (p=0.1). Conclusion: In conclusion, we detected a positive trend in anatomical outcomes after vitrectomy surgery in the subgroup recurrent RD patients that were operated by the same surgeon who carried out the first operation.

Comparison of Intraocular Pressure (IOP) Value Before and After Vitrectomy in Diabetic Retinopatic Patients

“…These results are also in accordance with Kanski's theory, which states that increased intraocular pressure is one of the complications of vitrectomy surgery which causes open-angle glaucoma secondary to the use of silicone oil. 18 The use of silicone oil as a substitute for the vitreous has been used for a long time and has been used for the long term for 2-6 months or more. Silicone oil is a thick liquid with a high level of cohesiveness so that when it is emulsified, it can block trabecular flow and cause an intraocular increase in post vitrectomy diabetic retinopathy patients.…”