J Korean Ophthalmol Soc.  2015 Jan;56(1):55-61. 10.3341/jkos.2015.56.1.55.

Primary Repair of Rhegmatogenous Retinal Detachment Using 25-Gauge Transconjunctival Sutureless Vitrectomy

• Baek SK
• Lee YH

• KMID: 2216154
• DOI: http://doi.org/10.3341/jkos.2015.56.1.55

Abstract

PURPOSE
To evaluate 25-gauge transconjunctival sutureless vitrectomy for primary repair of rhegmatogenous retinal detachment (RRD).
METHODS
We performed a retrospective study of 46 consecutive eyes of 46 patients who underwent 25-gauge transconjunctival sutureless vitrectomy to repair primary RRD. Outcome measures included single surgery anatomical success rate, final anatomical success rate, postoperative visual acuity, and surgical complications.
RESULTS
Forty eyes were phakic and six eyes were pseudophakic. Twenty-six eyes had superior quadrant retinal tear, 12 eyes had inferior quadrant tear and eight eyes had both. The mean operation time was 56.3 minutes. The single surgery anatomical success rate was 93.48% (43/46). Two eyes with recurrent retinal detachment underwent fluid gas exchange: one received barrier laser treatment in the outpatient clinic, and the other underwent reoperation; the final success rate was 100%. The best corrected visual acuity improved from 1.34 log MAR to 0.48 log MAR (p < 0.01) in macula - off patients (30 eyes) and from 0.32 log MAR to 0.07 log MAR (p = 0.279) in macula - on patients (16 eyes). Postoperative complications included wound leaking (two eyes), cataract progression (13 eyes), vitreous hemorrhage (one eye), transient hypotony (one eye), and increased intraocular pressure (seven eyes).
CONCLUSIONS
Primary repair of RRD using 25-gauge transconjunctival vitrectomy resulted in an excellent final anatomical success rate and postoperative visual outcomes.

Keyword

Rhegmatogenous retinal detachment; Twenty five-gauge transconjunctival sutureless vitrectomy

MeSH Terms

Ambulatory Care Facilities
Cataract
Humans
Intraocular Pressure
Outcome Assessment (Health Care)
Postoperative Complications
Reoperation
Retinal Detachment*
Retinal Perforations
Retrospective Studies
Visual Acuity
Vitrectomy*
Vitreous Hemorrhage
Wounds and Injuries

Reference

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