Use of 25-gauge vitrectomy in the management of primary rhegmatogenous retinal detachment
| Autor: | Marc D. de Smet, Marco Mura, Stevie H. Tan |
|---|---|
| Přispěvatelé: | Other Research, Ophthalmology, Amsterdam Neuroscience - Brain Imaging, Amsterdam Reproduction & Development (AR&D) |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Proliferative vitreoretinopathy Microsurgery Time Factors genetic structures medicine.medical_treatment Treatment outcome Sulfur Hexafluoride Visual Acuity Vitrectomy Retinal detachment surgery NO Postoperative Complications Ophthalmology Medicine Humans Minimally Invasive Surgical Procedures Silicone Oils Intraoperative Complications 25 gauge vitrectomy Intraocular Pressure Aged Retrospective Studies Aged 80 and over Fluorocarbons business.industry Retinal Detachment Retinal detachment Retrospective cohort study General Medicine Middle Aged medicine.disease eye diseases Treatment Outcome Female business |
| Zdroj: | Università degli studi di Ferrara-IRIS Mura, M, Tan, S H & De Smet, M D 2009, ' Use of 25-gauge vitrectomy in the management of primary rhegmatogenous retinal detachment ', Retina, vol. 29, no. 9, pp. 1299-1304 . https://doi.org/10.1097/IAE.0b013e3181aa0f5f Retina (Philadelphia, Pa.), 29(9), 1299-1304. Lippincott Williams and Wilkins Retina, 29(9), 1299-1304 |
| ISSN: | 1539-2864 0275-004X |
| DOI: | 10.1097/IAE.0b013e3181aa0f5f |
| Popis: | Purpose: To evaluate the anatomical and functional results of 25-gauge transconjuctival vitrectomy in the management of primary rhegmatogenous retinal detachment (RRD). Methods: A retrospective, noncomparative interventional case series including 131 consecutive patients who underwent 25-gauge transconjunctival vitrectomy for primary RRD repair was performed. Data concerning pre- and postoperative visual acuity and intraocular pressure (IOP), lens status, macular status, location of primary break, surgical time, postoperative inflammation, peri- and postoperative complications, and number of sutured sites were collected. Main outcome measures were anatomical success rate, postoperative visual acuity and IOP, and peri- and postoperative complications. Results: The success rate at 3 months was 92.4%. The visual acuity improved from 20/50 (range, 20/16 to light perception) to 20/32 (range, 20/200 to 20/16). Ten patients (7.6%) redetached after a mean follow-up time of 38 days (range, 21-53 days) because of the presence of proliferative vitreoretinopathy in 7 eyes (9.2%) or a new retinal tear in 3 eyes (3.9%). A lowered IOP between 6 mmHg and 10 mmHg (mean, 7.8 mmHg) was observed in 11 patients (8.4%). None had frank hypotony. None of the patients had choroidal detachment or endophthalmitis. Conclusion: Good case selection was shown to ensure good outcomes with 25-gauge transconjuctival vitrectomy in the management of primary RRD. RETINA 29:1299-1304, 2009 |
| Databáze: | OpenAIRE |
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