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J. A. Kozak, S. J. Saxe, D. N. Zacks; Management of Giant Retinal Tears With Vitrectomy in Phakic Patients. Invest. Ophthalmol. Vis. Sci. 2009;50(13):6072.
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To evaluate the functional and anatomic results of pars plana vitrectomy (PPV) for retinal detachment associated with giant retinal tears (GRT) in phakic patients.
Retrospective evaluation of 16 phakic eyes of 15 patients treated at the University of Michigan with PPV for retinal detachment associated with giant retinal tears. All patients were 18 years of age or older without history of prior vitreoretinal surgery, ruptured or open globe injuries. The mean follow-up time was 29.4 months (range, 2.5 - 77.9 months).
The retina was reattached at the end of the procedure in all 16 eyes. 12 eyes (75%) received C3F8 or SF6 tamponade, 4 eyes (25%) were treated with silicone oil, and 10 eyes (62.5%) received heavy liquid. Two patients (12.5%) underwent lensectomy at the time of the initial surgery. One case (6.3%) developed re-detachment, and further surgery was necessary to successfully reattach the retina. Ultimately the retina was attached in all 16 eyes (100%). Final Snellen visual acuity was 20/40 or better in 10 eyes (62.5%).
The success rate of the management of retinal detachment associated with giant retinal tears in phakic patients with pars plana vitrectomy is high.
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