J Korean Ophthalmol Soc.  1998 Aug;39(8):1816-1822.

Primary vitrectomy Using Scleral Depressin Technique for Rhegmatogenous Retinal Detachment

• Koo HJ
• Ahn BS
• Min WK

Abstract

We performed a primary vitrectimy using scleral depression technique for uncomplicated rhegmetogenous retinal detachment and intended to highlight the importance of scleral depression technique. The indications for the primary vitrectomy were eyes with multiple or posteriorly located retinal breaks, unidentified retinal breaks, vitreous opacities, strong vitreous tractions on the retina tear flap, and aphakic/pseudophakic retinal detachments, Removal of vitreoretinal traction and vitreous base dissection using scleral depression technuque were performed in sixty-eight eyes of rhegmatogenous retinal detachment uncomplicated with proliferative vitreoretinopathy of grade C or worse. Scleral segmental buckle or encircling was also placed in 60 of 68 eyes. The retina was reattached after the primary operation in fifty-seven eyes(80.9%), and after reoperations in remaining eleven eyes(19.1%). Postoperative visual acuity was 0.4 or better in thirty-eight eyes (55.9%), and worse than 0.025 in eight eyes(11.8%). Vitrectomy in conjuction with scleral depression technique would be effective in increasing surgical success rate in selected cases of retinal detachment surgery.

Keyword

Primary vitrectomy; Rhegmatogenous retinal detachment; Scleral depression technique; Vitreous base dissection

MeSH Terms

Depression
Hexamethonium*
Retina
Retinal Detachment*
Retinal Perforations
Retinaldehyde*
Traction
Visual Acuity
Vitrectomy*
Vitreoretinopathy, Proliferative
Hexamethonium
Retinaldehyde