J Korean Ophthalmol Soc.  2006 Jan;47(1):55-61.

The Results of Primary Vitrectomy for Rhegmatogenous Retinal Detachment

• Han NS
• Lee SB
• Jo YJ

Abstract

PURPOSE: To report the anatomic and visual results of vitrectomy without scleral buckling in rhegmatogenous retinal detachment.
METHODS
Primary vitrectomy without scleral buckling for the treatment rhegmatogenous retinal detachment was done in 41 eyes (41 patients) and followed up for a mean period of 21.5 months(range 6~65 months). Indications of primary vitrectomy were uncertain preoperative breaks, the presence of large breaks, the presence of breaks near equator, multiple breaks, proliferative vitreoretinopathy not related to breaks and presence of inferior vitreous hemorrhage.
RESULTS
The anatomic success rate after a single operation was 90.2%. Visual acuity was improved or stable in 37 eyes (90.2%). Progression of lens opacity (35.7%) and formation of epiretinal membrane (12.2%) constituted the major complications after primary vitrectomy.
CONCLUSIONS
Primary vitrectomy without scleral buckling can be a safe, effective method to repair primary rhegmatogenous retinal detachments in selective cases.

Keyword

Rhegmatogenous retinal detachment; Vitrectomy without scleral buckling

MeSH Terms

Cataract
Epiretinal Membrane
Retinal Detachment*
Retinaldehyde*
Scleral Buckling
Visual Acuity
Vitrectomy*
Vitreoretinopathy, Proliferative
Vitreous Hemorrhage
Retinaldehyde