Impact of postoperative positioning on the outcome of pars plana vitrectomy with gas tamponade for primary rhegmatogenous retinal detachment: comparison between supine and prone positioning.

Abstract

PURPOSE:

To compare the postoperative anatomic success rates and the frequency of complications between prone or supine postoperative positioning after transconjunctival sutureless vitrectomy (TSV) for rhegmatogenous retinal detachment (RRD).

METHODS:

All patients underwent primary 27-gauge TSV for the treatment of primary RRD. Patients were divided into two groups as follows: group A was patients instructed to keep strict postoperative prone positioning for a minimum of 8 days. Group B was patients instructed to keep the prone positioning on the day of the surgery followed by supine positioning for minimum of 7 days from the day after surgery.

RESULT:

Sixty-two eyes were enrolled (group A: 32, group B: 30). There was no significant difference in baseline data between two groups. The initial and final anatomical success rates were 93.8% and 100% in group A and 93.3% and 100% in group B, respectively (p = 1, p = 1, respectively). Posterior synechia of the iris occurred in one eye in group A and in two eyes in group B (p = 0.61). Macular pucker and retinal fold did not occur in either group. Preoperative intraocular pressure (IOP; mmHg) was 14.5 ± 2.9 in group A and 14.5 ± 2.6 in group B (p = 0.92). Intraocular pressure (IOP) was not statistically different between the groups during the follow-up period (p = 0.36, p = 0.07, respectively).

CONCLUSION:

Supine positioning may be an option as a postoperative positioning after TSV and gas tamponade for the treatment of RRD.

• Authors: Keiko Otsuka, Hisanori Imai, Akiko Miki, Makoto Nakamura
• Journal: Acta ophthalmologica (Acta Ophthalmol) Vol. 96 Issue 2 Pg. e189-e194 (Mar 2018) ISSN: 1755-3768 [Electronic] England
• PMID: 28556420 (Publication Type: Comparative Study, Journal Article)
• Copyright: © 2017 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Chemical References

• Sulfur Hexafluoride

Topics

• Endotamponade
• Female
• Humans
• Laser Coagulation
• Lens Implantation, Intraocular
• Male
• Middle Aged
• Patient Positioning
• Phacoemulsification
• Postoperative Period
• Prone Position
• Retinal Detachment (surgery)
• Retrospective Studies
• Sulfur Hexafluoride (administration & dosage)
• Supine Position
• Treatment Outcome
• Visual Acuity (physiology)
• Vitrectomy