Primary vitrectomy for rhegmatogenous retinal detachment: an analysis of failure
| Autor: | H Woon, W T Green, A H Chignell, E C Richardson, Seema Verma |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Pars plana
Adult Male Reoperation medicine.medical_specialty Proliferative vitreoretinopathy Time Factors Eye disease medicine.medical_treatment Vitrectomy 03 medical and health sciences 0302 clinical medicine Retinal Examination Ophthalmology medicine Humans Treatment Failure Aged Retrospective Studies business.industry Vitreoretinopathy Proliferative Retinal Detachment Retinal detachment General Medicine Diabetic retinopathy Middle Aged medicine.disease Retinal Perforations Surgery medicine.anatomical_structure 030221 ophthalmology & optometry Female business 030217 neurology & neurosurgery Retinopathy Follow-Up Studies |
| Zdroj: | European journal of ophthalmology. 10(2) |
| ISSN: | 1120-6721 |
| Popis: | Purpose To find the cause of failure in primary vitrectomy for rhegmatogenous retinal detachment. Methods Retrospective review of 171 consecutive cases of RRD treated by primary pars plana vitrectomy (PPV) from a tertiary referral centre to identify the 25 cases in which surgery had failed. Detachments with giant or macula breaks at initial presentation, with proliferative diabetic retinopathy or with PVR greater than grade B were excluded. Results The failure rate after the first operation was 14.6% and the commonest cause of failure was missed retinal breaks, accounting for 64.3% of failures. Conclusion Missed retinal breaks are the commonest cause of failure of primary PPV for RRD although proliferative vitreoretinopathy may contribute to surgical failure. This re-emphasises the importance of assiduous peroperative retinal examination. |
| Databáze: | OpenAIRE |
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