J Korean Ophthalmol Soc.  1997 Feb;38(2):227-235.

Vitrectomy without Dcleral Buckling for the Treatment of Primary Rhegmatohenous Retinal Detachment

• Kang SW
• Min JP

Abstract

Vitrectomy without scleral buckling for the treatment of primary rhegmatogenous retinal detachment was done in 24 eyes(24 person). The minimum follow up period in each case was 4 months. Indications of primary vitrectomy were 1) the complex arrangement of retinal breaks or 2) the presence of large retinal break or 3) the presence of retinal break near posterior pole. Anatomical success rate after single operation was 87.5%. Appearance of new retinal break, proliferative vitreoretinopathy and incomplete relief of traction caused anatomical failure in 3 eyes respectively after single operation. Visual acuity was improved in ninety-two percent of cases postoperatively. Progression of lens opacity(27.2%) and elevated intraocular pressure (25.0%) constituted the major complications after primary vitrectomy. In conclusion, we regard primary vitrectomy as an efficient surgical alternative to scleral buckling in selected cases of peimary rhegmatogenous retinal detachment.

Keyword

Primary rhegmatogenous retinal detachment; Vitrectomy

MeSH Terms

Follow-Up Studies
Intraocular Pressure
Retinal Detachment*
Retinal Perforations
Retinaldehyde*
Scleral Buckling
Traction
Visual Acuity
Vitrectomy*
Vitreoretinopathy, Proliferative
Retinaldehyde