[Trans-scleral sutureless vitrectomy with a 25-G system for rhegmatogenous retinal detachment treatment].
OBJECTIVE
The evaluation of the trans-scleral sutureless vitrectomy (TSV) efficiency using a 25G system as an alternative in rhegmatogenous retinal detachment (RRD) treatment.


METHODS
Patients treated for RRD with TSV have been reviewed taking into account their age, phakic or pseudophakic state, RRD localization and extension, surgical technique and post-operative resolution.


RESULTS
Twenty two eyes of 22 patients have been treated for RRD with TSV. The average age was 54.3 years. 50% of the eyes were phakic. Eight of the detachments were "macula-off" at the time of diagnosis. SF6 was used in 5 cases and air in the remainder. Retinopexia of the breaks was done with trans-scleral cryocoagulation in 13 cases, with laser endophotocoagulation in 6 cases, and with both methods in 3 cases. The average follow-up time was 6.8 months, and the main complications were cataracts in 7 of 11 phakic eyes (63.6%) and a new retinal detachment in 4 eyes (18.2%). The intraocular pressures were similar to those before surgery and in 18 cases (81.8%) the visual acuity was better.


CONCLUSIONS
TSV is effective in the treatment of RRD but with some limitations like the need for a learning period and a high incidence of cataracts.
Pérez-González
L E
LE
Servicio de Oftalmología, Hospital General Universitario Morales Meseguer, Murcia, España. luiseloyperez@hotmail.com
Lajara-Blesa
J J
JJ
D000328:Adult; D000368:Aged; D002386:Cataract / Q000453:epidemiology / Q000209:etiology; D003452:Cryosurgery / Q000295:instrumentation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017075:Laser Coagulation / Q000295:instrumentation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014821:Vitrectomy / Q000295:instrumentation* / Q000379:methods