title: Pseudophakic Retinal Detachment Surgery by 23 G Vitrectomy using Slit-Lamp and Non-Contact 90 D Lens.
abstract: BACKGROUND
  The purpose of this study is to report the anatomic and functional results of primary 23 G vitrectomy using slit-lamp and non-contact 90 D lens for the treatment of pseudophakic rhegmatogenous retinal detachment.
  
  
  METHODS
  Pseudophakic eyes were operated by 23 G vitrectomy using slit-lamp and non-contact 90 D lens, internal subretinal fluid drainage, cryopexy and internal gas tamponade. The preoperative and postoperative characteristics were analysed. Main outcome measures were anatomic success rates after initial surgical intervention and after reoperation for primary failures, visual outcome at the last follow-up visit, and complications.
  
  
  RESULTS
  46 pseudophakic eyes were included in this retrospective study (October 2013- January 2014). In 40 cases, sulfur hexafluoride 23% gastamponade was used, silicone oil in 6 cases (13%). The retina was reattached successfully after a single surgery in 44 eyes (96%). Recurrence of retinal detachment occurred in 2 eyes. Final anatomic reattachment was obtained in 100% after a second operation. Silicone oil was removed in all eyes. Visual acuity improved significantly from logMAR 0 (IQR 0-0.9) to logMAR 0 (IQR 0-0.2) (p<0.005).
  
  
  CONCLUSIONS
  Primary 23 G vitrectomy using slit-lamp and non contact 90 D lens for the treatment of pseudophakic rhegmatogenous retinal detachment provides a high anatomic and functional success rate and is associated with few complications.
authors.affiliation: Department of Ophthalmology, Jules Gonin Eye Hospital, Fondation Asile des Aveugles, Vitreoretinal Surgery Unit, University of Lausanne, Switzerland (Chairman: Pr. Francine Behar-Cohen).
authors.forename: J-A C
authors.initials: JA
authors.lastname: Pournaras
authors.affiliation: Department of Ophthalmology, Jules Gonin Eye Hospital, Fondation Asile des Aveugles, Vitreoretinal Surgery Unit, University of Lausanne, Switzerland (Chairman: Pr. Francine Behar-Cohen).
authors.forename: A
authors.initials: A
authors.lastname: Petrovic
authors.affiliation: Department of Ophthalmology, Jules Gonin Eye Hospital, Fondation Asile des Aveugles, Vitreoretinal Surgery Unit, University of Lausanne, Switzerland (Chairman: Pr. Francine Behar-Cohen).
authors.forename: C
authors.initials: C
authors.lastname: Bergin
authors.affiliation: Department of Ophthalmology, Jules Gonin Eye Hospital, Fondation Asile des Aveugles, Vitreoretinal Surgery Unit, University of Lausanne, Switzerland (Chairman: Pr. Francine Behar-Cohen).
authors.forename: E H
authors.initials: EH
authors.lastname: Bovey
authors.affiliation: Department of Ophthalmology, Jules Gonin Eye Hospital, Fondation Asile des Aveugles, Vitreoretinal Surgery Unit, University of Lausanne, Switzerland (Chairman: Pr. Francine Behar-Cohen).
authors.forename: T J
authors.initials: TJ
authors.lastname: Wolfensberger
mesh_terms: D002387:Cataract Extraction / Q000009:adverse effects; D005260:Female; D006801:Humans; D007089:Image Enhancement / Q000295:instrumentation; D007909:Lenses; D008297:Male; D008875:Middle Aged; D019591:Pseudophakia / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D015203:Reproducibility of Results; D012163:Retinal Detachment / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D066167:Slit Lamp; D025321:Surgery, Computer-Assisted / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome; D014821:Vitrectomy / Q000295:instrumentation* / Q000379:methods