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Christopher Rosicki, Cindy Hwang, Jaafar El Annan, Annal Meleth, Petros Carvounis; Vitrectomy with anterior drainage without perfluorocarbon liquid for retinal detachment repair. Invest. Ophthalmol. Vis. Sci. 2013;54(15):2868.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the outcomes of retinal detachment repair using anterior drainage without perfluorocarbon liquid
Retrospective interventional case series of consecutive patients who underwent pars plana vitrectomy (PPV) without scleral buckling with internal drainage through a drain retinotomy at or anterior to the equator or via an anterior break without use of perfluorocarbon liquid for repair of a retinal detachment.
In the 77 patients included, the single surgery success rate was 91.2%. Mean logMAR visual acuity improved from 0.878 (20/151) to logMAR 0.50 (20/63). The success rate considering macular-sparing retinal detachments alone was 85.7% (36/42). Among the 36 eyes with macula-sparing retinal detachments who underwent successful repair with single surgery there were 4 patients whose visual acuity at final follow-up was worse than pre-operatively, in all due to development of a post-vitrectomy cataract
In this pilot study, retinal detachment repair with pars plana vitrectomy without scleral buckling with anterior internal drainage without use of perfluorocarbon liquid appears to offer high rates of single-surgery success without compromising visual outcomes.
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