Primary vitrectomy for the management of rhegmatogenous retinal detachment associated with choroidal detachment.
OBJECTIVE
To evaluate the role and the results of primary vitrectomy in treating cases with coexisting rhegmatogenous retinal detachment and choroidal detachment.


METHODS
Eleven consecutive eyes with coexisting rhegmatogenous retinal detachment and choroidal detachment with proliferative vitreoretinopathy less than grade C were included. Release of traction on the breaks was achieved by vitrectomy and augmented by episcleral buckle if needed. Perfluorocarbon liquids were used to drain the subretinal fluid through the vitrectomy sclerotomies. The breaks were treated by endolaser under perfluorocarbon liquids. Postoperative tamponade was done by C3F8 gas or silicone oil. Cases were followed up for at least 3 months.


RESULTS
Retinal reattachment could be achieved and maintained in all cases by one or more surgeries. No recurrence of choroidal detachment has occurred. In each case, choroidal detachment was drained through the sclerotomies and retinal detachment was repaired.


CONCLUSIONS
Primary vitrectomy represents an effective line in the management of rhegmatogenous retinal detachment with coexisting choroidal detachment in phakic or nonphakic eyes.


CONCLUSIONS
Primary vitrectomy is recommended for the management of choroidal detachment associated with retinal detachment.
Ghoraba
H H
HH
Maghrabi Eye Hospital, Tanta, Egypt. hghoraba@email.com
D000368:Aged; D015862:Choroid Diseases / Q000150:complications* / Q000601:surgery*; D004322:Drainage / Q000379:methods; D005260:Female; D005466:Fluorocarbons / Q000627:therapeutic use; D006801:Humans; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000150:complications* / Q000601:surgery*; D012591:Scleral Buckling; D012599:Sclerostomy; D012827:Silicone Oils / Q000627:therapeutic use; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy
D005466:Fluorocarbons; D012827:Silicone Oils; C042852:perflutren