May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Pars Plana Vitrectomy for the Treatment of Primary Pseudophakic and Aphakic Inferior Retinal Detachment
Author Affiliations & Notes
  • D. Panigrahi
    Ophthalmology, Georgetown-Washington Hospital Center, Washington, DC, United States
  • B.L. Johnson
    Ophthalmology, Georgetown-Washington Hospital Center, Washington, DC, United States
  • R. Kuzumi
    Ophthalmology, Georgetown-Washington Hospital Center, Washington, DC, United States
  • Z. Segal
    Ophthalmology, Georgetown-Washington Hospital Center, Washington, DC, United States
  • M.K. Barazi
    Ophthalmology, Georgetown-Washington Hospital Center, Washington, DC, United States
  • J. Bezek
    Ophthalmology, Georgetown-Washington Hospital Center, Washington, DC, United States
  • W.B. Phillips II
    Ophthalmology, The Retina Group of Washington, Washington, DC, United States
  • D.M. Berinstein
    Ophthalmology, The Retina Group of Washington, Washington, DC, United States
  • M.A. von Fricken
    Ophthalmology, The Retina Group of Washington, Washington, DC, United States
  • Footnotes
    Commercial Relationships  D. Panigrahi, None; B.L. Johnson, None; R. Kuzumi, None; Z. Segal, None; M.K. Barazi, None; J. Bezek, None; W.B. Phillips II, None; D.M. Berinstein, None; M.A. von Fricken, None.
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 3047. doi:
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      D. Panigrahi, B.L. Johnson, R. Kuzumi, Z. Segal, M.K. Barazi, J. Bezek, W.B. Phillips II, D.M. Berinstein, M.A. von Fricken; Pars Plana Vitrectomy for the Treatment of Primary Pseudophakic and Aphakic Inferior Retinal Detachment . Invest. Ophthalmol. Vis. Sci. 2003;44(13):3047.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose: To evaluate the safety and efficacy of treating rhegmatogenous retinal detachment (RRD) with primarily inferior pathology using pars plana vitrectomy (PPV) as the primary surgical procedure. Methods: Retrospective analysis of a comparative interventional case series. Results: Seventeen eyes of 17 patients underwent PPV with shaving of the vitreous base, air-fluid exchange, and sulfur hexafluoride gas tamponade for RRD with retinal breaks between 4:00 and 8:00 by one surgeon. Retinal breaks were treated with laser indirect ophthalmoscopy (14), endolaser (2), or cryotherapy (1). Fifteen of 17 eyes (88%) were successfully reattached with a single PPV. Five of 6 macula-on detachments were re-attached with PPV resulting in a mean spectacle corrected Snellen visual acuity of 20/25. Ten of 11 eyes with macula-off detachments were re-attached with PPV resulting in a mean spectacle corrected Snellen visual acuity of 20/50. Eight of 11 (73%) of macula-off eyes had an end-point visual acuity of 20/40 or better. Post-operative complications included recurrent retinal detachment (12%), transient ocular hypertension (17%), proliferative vitreoretinopathy (12%), and macular pucker (12%). Conclusions: Pars plana vitrectomy for the treatment of RRD with inferior vitreoretinal pathology may be a safe and effective surgical modality. Outcomes in this pilot study were comparable to those achieved by PPV and/or or scleral buckle for pseudophakic RRD previously reported in the literature. Further evaluation of PPV for pseudophakic inferior RRD is warranted.

Keywords: retina • vitreoretinal surgery • clinical (human) or epidemiologic studies: out 
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