Management of inferior breaks in pseudophakic rhegmatogenous retinal detachment with pars plana vitrectomy and air.
OBJECTIVE
To determine the role of pars plana vitrectomy without scleral buckling and air as a tamponade with 24 hours of prone positioning in the management of inferior breaks in primary pseudophakic rhegmatogenous retinal detachment.


METHODS
Prospective, noncomparative, interventional case series. Fifteen consecutive eyes (15 patients) with primary pseudophakic rhegmatogenous retinal detachment with causative breaks located between the 4-o'clock and 8-o'clock positions underwent pars plana vitrectomy with air tamponade. The prone position was maintained for 24 hours. Anatomic and functional results are presented.


RESULTS
The anatomic reattachment rate was 93.3% after 1 procedure and 100% at the 6-month visit. Mean preoperative best-corrected visual acuity was 20/60 (range, 20/400 to 20/25) and mean postoperative best-corrected visual acuity was 20/30 (range, 20/100 to 20/20). In 1 case the retina redetached at the second week because of an undetected break. Postoperative epiretinal membrane was observed in 1 case.


CONCLUSIONS
Pars plana vitrectomy and air tamponade with only 24 hours of prone positioning postoperatively is effective in the management of primary pseudophakic rhegmatogenous retinal detachment with causative breaks between the 4-o'clock and 8-o'clock positions.
Martínez-Castillo
Vicente
V
Vall d'Hebrón Hospital, Universidad Autónoma de Barcelona, Calle Londres No. 54, 41B, Barcelona 08036, Spain. 31756vmc@comb.es
Verdugo
Alicia
A
Boixadera
Anna
A
García-Arumí
José
J
Corcóstegui
Borja
B
D000328:Adult; D000368:Aged; D000388:Air; D002387:Cataract Extraction; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016684:Prone Position; D011446:Prospective Studies; D019591:Pseudophakia / Q000150:complications*; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000209:etiology / Q000601:surgery*; D012449:Safety; D012599:Sclerostomy; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*