Abstract
Purpose:
To evaluate the outcomes of retinal detachment repair using anterior drainage without perfluorocarbon liquid
Methods:
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.
Results:
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
Conclusions:
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.
Keywords: 697 retinal detachment •
688 retina