Use of 25-gauge vitrectomy in the management of primary rhegmatogenous retinal detachment.
OBJECTIVE
To evaluate the anatomical and functional results of 25-gauge transconjuctival vitrectomy in the management of primary rhegmatogenous retinal detachment (RRD).


METHODS
A retrospective, noncomparative interventional case series including 131 consecutive patients who underwent 25-gauge transconjunctival vitrectomy for primary RRD repair was performed. Data concerning pre- and postoperative visual acuity and intraocular pressure (IOP), lens status, macular status, location of primary break, surgical time, postoperative inflammation, peri- and postoperative complications, and number of sutured sites were collected. Main outcome measures were anatomical success rate, postoperative visual acuity and IOP, and peri- and postoperative complications.


RESULTS
The success rate at 3 months was 92.4%. The visual acuity improved from 20/50 (range, 20/16 to light perception) to 20/32 (range, 20/200 to 20/16). Ten patients (7.6%) redetached after a mean follow-up time of 38 days (range, 21-53 days) because of the presence of proliferative vitreoretinopathy in 7 eyes (9.2%) or a new retinal tear in 3 eyes (3.9%). A lowered IOP between 6 mmHg and 10 mmHg (mean, 7.8 mmHg) was observed in 11 patients (8.4%). None had frank hypotony. None of the patients had choroidal detachment or endophthalmitis.


CONCLUSIONS
Good case selection was shown to ensure good outcomes with 25-gauge transconjuctival vitrectomy in the management of primary RRD.
Mura
Marco
M
Department of Ophthalmology, University of Amsterdam, The Netherlands. m.mura@amc.uva.nl
Tan
Stevie H
SH
De Smet
Marc D
MD
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007431:Intraoperative Complications; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012827:Silicone Oils / Q000008:administration & dosage; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*
D005466:Fluorocarbons; D012827:Silicone Oils; C042852:perflutren; D013459:Sulfur Hexafluoride