Low redetachment rate due to encircling scleral buckle in giant retinal tears treated with vitrectomy and silicone oil.
BACKGROUND
The goal of this study was to identify risk factors for redetachment and to assess long-term anatomic and functional results of pars plana vitrectomy (PPV) for retinal detachment associated with giant retinal tears (GRT).


METHODS
In a retrospective study the authors analyzed 30 eyes which were operated with PPV for GRT retinal detachment in their clinic between March 1998 and August 2003.


RESULTS
Redetachment rate after one vitrectomy procedure in this series of 30 eyes was 30% (n = 9), and ultimately, the retina was attached in 29 (96.7%) eyes. After multivariate analysis the absence of an encircling scleral buckle (P = 0.008) was significantly associated with redetachment. Visual acuity improved in 54% of the eyes.


CONCLUSIONS
Vitrectomy with an encircling scleral buckle seems to be a preferred treatment for complicated retinal detachments due to GRT.
Goezinne
Fleur
F
Department of Ophthalmology, University Hospital Maastricht, The Netherlands. fgo@soog.azm.nl
LA Heij
Ellen C
EC
Berendschot
Tos T J M
TT
Gast
Sacha T J M
ST
Liem
Albert T A
AT
Lundqvist
Igor L
IL
Hendrikse
Fred
F
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012163:Retinal Detachment / Q000503:physiopathology / Q000517:prevention & control*; D012167:Retinal Perforations / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D012591:Scleral Buckling; D012827:Silicone Oils / Q000627:therapeutic use*; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*
D012827:Silicone Oils