title: Contemporary Management of Rhegmatogenous Retinal Detachment Due to Giant Retinal Tears: A Consecutive Case Series.
abstract: OBJECTIVE
  To investigate outcomes of contemporary surgical techniques for repair of rhegmatogenous retinal detachments (RRD) associated with giant retinal tears (GRT).
  
  
  METHODS
  Retrospective, consecutive case series including 58 eyes of 58 patients. Mean age was 52 years (range: 16 to 83 years). All patients underwent 23-gauge pars plana vitrectomy with use of perfluorocarbon liquid and intravitreal tamponade (28 with silicone oil, 25 with octafluoropropane gas, and five with sulfur hexafluoride gas). Scleral buckle (SB) was placed in 30 eyes (52%).
  
  
  RESULTS
  At a mean follow-up of 17 months, mean visual acuity improved from 20/500 preoperatively to 20/88 at final follow-up. Fifty-one patients (88%) had single-surgery anatomic success, and all patients achieved final retinal reattachment. Use of SB (P = 1.0), silicone oil (P = .1), or 360° endophotocoagulation (P = .7) did not correlate with higher rates of successful repair.
  
  
  CONCLUSIONS
  Contemporary vitreoretinal surgery techniques achieve high rates of primary anatomic success in GRT-related RRDs.
authors.forename: John D
authors.initials: JD
authors.lastname: Pitcher
authors.forename: Mohammed Ali
authors.initials: MA
authors.lastname: Khan
authors.forename: Philip P
authors.initials: PP
authors.lastname: Storey
authors.forename: Natalie
authors.initials: N
authors.lastname: Hsiao-Fang-Yen
authors.forename: Michael L
authors.initials: ML
authors.lastname: Dollin
authors.forename: Jason
authors.initials: J
authors.lastname: Hsu
authors.forename: Allen C
authors.initials: AC
authors.lastname: Ho
authors.forename: Carl D
authors.initials: CD
authors.lastname: Regillo
authors.forename: Sunir J
authors.initials: SJ
authors.lastname: Garg
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D058450:Endotamponade; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D012827:Silicone Oils / Q000008:administration & dosage; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy; D057586:Vitreoretinal Surgery / Q000379:methods*
chemical_list: D005466:Fluorocarbons; D012827:Silicone Oils; C042852:perflutren; D013459:Sulfur Hexafluoride