Primary 25-gauge sutureless vitrectomy with oblique sclerotomies in pseudophakic retinal detachment.
OBJECTIVE
To evaluate the anatomic and functional outcomes of 25-gauge sutureless vitrectomy in primary treatment of noncomplex pseudophakic rhegmatogenous retinal detachments (RRD).


METHODS
Prospective interventional institutional case series. Twenty-two eyes with pseudophakic RRD with proliferative vitreoretinopathy grade A or B underwent primary 25-gauge vitrectomy with oblique sclerotomies and gas endotamponade. Eyes with minimum follow-up of 6 months were evaluated. Main outcome measures were reattachment rate with single surgery, reoperation, complication rates, and changes in visual acuity (VA).


RESULTS
Mean duration of visual loss was 14.68 +/- 12.87 days. Seventeen (77.27%) eyes had macular detachment. In all eyes 25-gauge sutureless vitrectomy was completed without complications. The mean follow-up period was 10.40 +/- 5.77 months. Retinal attachment was achieved in 21 (95.45%) eyes with single surgery and in all (100%) eyes with second vitrectomy. Mean preoperative VA of 1.61 +/- 1.18 improved to 0.50 +/- 0.53 at the last visit (P < 0.001). Transient hypotony was detected in 2 (9.09%) eyes with spontaneous resolution. No other postoperative complication was observed.


CONCLUSIONS
Twenty-five-gauge sutureless vitrectomy with oblique sclerotomies in primary treatment of noncomplex pseudophakic RRDs resulted in reattachment in 95.45% with single surgery, and in 100% with reoperation in one eye, accompanied by an increase in visual acuity in 86% of eyes.
Acar
Nur
N
Beyoglu Eye Research and Training Hospital, Istanbul, Turkey. nur.nuracar@gmail.com
Kapran
Ziya
Z
Altan
Tugrul
T
Unver
Yaprak Banu
YB
Yurtsever
Serap
S
Kucuksumer
Yasar
Y
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D015814:Ocular Hypotension / Q000209:etiology / Q000503:physiopathology; D011184:Postoperative Period; D011446:Prospective Studies; D019591:Pseudophakia / Q000150:complications / Q000601:surgery*; D012086:Reoperation; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000601:surgery*; D012590:Sclera / Q000601:surgery*; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects / Q000379:methods*; D018630:Vitreoretinopathy, Proliferative / Q000150:complications