Abstract | BACKGROUND AND OBJECTIVE: MATERIALS AND METHODS: This was a prospective, non-randomized clinical study. Ninety-four consecutive pseudophakic and aphakic retinal detachments were included in the study. All patients were operated upon by the same surgeon. Each patient underwent a combined scleral buckle and pars plana vitrectomy with perfluorocarbon injection and air-fluid exchange. Each patient was followed by the operating surgeon for a minimum of 6 months. Patients were followed with respect to anatomic reattachment, visual acuity improvement, and surgical complications. RESULTS: All eyes were anatomically reattached after a single operation. All demonstrated an increase in their visual acuity, and there were no complications attributable to the vitrectomy procedure. CONCLUSIONS: We conclude that such a combined approach to primary pseudophakic and aphakic retinal detachments offers significant benefits to scleral buckling alone. We believe that the improved success rate is a function of vitrectomy contributing to both an improved peripheral visibility, resulting in fewer missed peripheral breaks, and a lower likelihood of proliferative vitreoretinopathy. We recommend this combined surgical approach for all primary pseudophakic and aphakic retinal detachments.
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Authors | R G Devenyi, H de Carvalho Nakamura |
Journal | Ophthalmic surgery and lasers
(Ophthalmic Surg Lasers)
1999 Sep-Oct
Vol. 30
Issue 8
Pg. 615-8
ISSN: 1082-3069 [Print] United States |
PMID | 10507563
(Publication Type: Clinical Trial, Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Female
- Humans
- Male
- Middle Aged
- Prospective Studies
- Pseudophakia
(surgery)
- Retinal Detachment
(surgery)
- Scleral Buckling
- Treatment Outcome
- Vitrectomy
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