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J. Tseng, Y. Akar, G.R. Barile, W.M. Schiff, S. Chang; Influence of Relaxing Retinotomy Upon Surgical Outcomes in Proliferative Vitreoretinopathy . Invest. Ophthalmol. Vis. Sci. 2004;45(13):1049.
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Purpose: To determine the role of relaxing retinotomy incisions upon initial surgical success rates in the repair of recurrent retinal detachment (RD) due to proliferative vitreoretinopathy (PVR). Methods: A total of 115 eyes with recurrent RD due to PVR were included in this study. Exclusion criteria were: history of giant retinal tear, uveitis, trauma, proliferative diabetic retinopathy, and age under 18 years. 53 eyes underwent retinotomy at the time of surgery; 62 eyes were repaired without this technique. Gas (n=38) or silicone oil (n=77) was used as postoperative tamponade. Statistical analyses were performed using Fisher’s exact test. Results: The mean age of the patients was 59.5±14.9 years (range 22 to 92 years), and the mean follow–up time was 18.1±6.8 months (range 3 to 63 months). Ultimate surgical reattachment was achieved in all eyes except 5 silicone oil cases, 4 without retinotomy and 1 with retinotomy. In 18 cases requiring further surgery for repair (excluding silicone oil removal), recurrent RD developed due to reproliferation in 10 eyes and to new retinal breaks in 8 eyes (1 in the gas tamponade group; 7 in silicone oil group). Initial anatomic results for eyes with or without retinotomy are summarized in Table 1. Table 1. Anatomic results for eyes with or without retinotomy.
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