April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
Vitrectomy and Air Tamponade for the Treatment of Uncomplicated Rhegmatogenous Retinal Detachment
Author Affiliations & Notes
  • M. Coppola
    Ophthalmology, San Gerardo Hospital Monza (MB), Milano, Italy
  • M. Azzolini
    Ophthalmology, San Gerardo Hospital Monza (MB), Milano, Italy
  • Footnotes
    Commercial Relationships  M. Coppola, None; M. Azzolini, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 1757. doi:
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    • Get Citation

      M. Coppola, M. Azzolini; Vitrectomy and Air Tamponade for the Treatment of Uncomplicated Rhegmatogenous Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2010;51(13):1757.

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Abstract

Purpose: : To evaluate the efficacy of air tamponade after vitrectomy for the treatment of uncomplicated rhegmatogenous retinal detachment (RRD)

Methods: : Retrospective case series of 24 eyes affected by RRD due to a single (12 eyes) or multiple (12 eyes) retinal breaks. The treatment comprised 20-gauge complete vitrectomy, air tamponade, retinopexy, 24-hour postoperative positioning.

Results: : The retina was flattened after a single intervention in 21 eyes (87,5%). The observed three cases of RRD recurrence, successfully reoperated with silicone oil tamponade. Complications included 1 macular pucker, 4 cases of corneal striae (slowly disappeared after up to 100 days), cataract progression in 9/16 eyes, and 1 case of iris atrophy.

Conclusions: : Air tamponade and 24-hour positioning resulted effective for the treatment of uncomplicated RRD. The air tamponade permits a great shortening of postoperative positioning with the obvious consequent advantages.

Keywords: clinical (human) or epidemiologic studies: treatment/prevention assessment/controlled clinical trials • vitreoretinal surgery • retinal detachment 
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