[Pseudophakic inferior retinal detachment or detachment with inferior breaks: clinical outcome and recurrences after primary vitrectomy-gas].

Abstract

BACKGROUND:

This study aims to evaluate the outcome of primary vitrectomy/gas for pseudophakic retinal detachment (RD) located inferiorly or associated to inferior breaks.

PATIENTS AND METHODS:

We performed a retrospective, non-randomised study comprising 18 pseudophakic RD eyes with inferior RD (group A) and 19 pseudophakic RD eyes with inferior breaks (group B) treated with primary vitrectomy and gas tamponade (SF (6) 20 %). Pre- and postoperative characteristics were analysed, focusing on RD recurrences.

RESULTS:

In group A, RD recurred in 2/18 eyes (11 %) and was associated to proliferative vitreoretinopathy (PVR) both at first intervention and on recurrence. In group B, RD recurred in 4/19 eyes (21 %). One eye presented PVR at first intervention and all at re-intervention. Anatomic reapplication was achieved after second vitrectomy/gas in 2/4 eyes of group B, whereas long-term silicon oil tamponade was needed in 2 eyes of each group.

CONCLUSIONS:

This series shows a high success rate of primary vitrectomy/gas in pseudophakic RD patients with inferior RD or detachment associated to inferior breaks. Recurrences after vitrectomy are most often related to the presence of PVR.

• Authors: N P Dang Burgener, I K Petropoulos, A N Stangos, C J Pournaras
• Journal: Klinische Monatsblatter fur Augenheilkunde (Klin Monbl Augenheilkd) Vol. 223 Issue 5 Pg. 436-9 (May 2006) ISSN: 0023-2165 [Print] Germany
• Vernacular Title: Décollement de rétine du pseudophake inférieur ou comportant des brèches inférieures: résultats et récidives après vitrectomie-gaz en première intention.
• PMID: 16705525 (Publication Type: English Abstract, Journal Article)

Chemical References

• Sulfur Hexafluoride

Topics

• Aged
• Female
• Follow-Up Studies
• Humans
• Male
• Pseudophakia (complications, diagnosis, therapy)
• Retina (drug effects, injuries, surgery)
• Retinal Detachment (diagnosis, therapy)
• Retrospective Studies
• Secondary Prevention
• Sulfur Hexafluoride (administration & dosage)
• Treatment Outcome
• Vitrectomy