Abstract
Purpose: :
To evaluate the results of vitrectomy for retinal detachment with and without an additional light source.
Methods: :
108 consecutive eyes of 108 patients were vitrectomized, 52 eyes with an additional light source. In 21% of detachments, a double procedure with phacoemulsification and IOL implantation was performed. All procedures were performed by 4 surgeons.
Results: :
Overall retinal redetachment rate after the first intervention was 21%, differing from 38 to 19%. 6% needed a third procedure. There was a significant statistical difference between both groups, eyes with an additional light source showed a lower retinal redetachment rate than eyes operated with a light pipe.
Conclusions: :
The possibility of bimanual surgery with an additional light shows better results in vitrectomy for retinal detachment than procedures with light pipe and assistance. Therefore , this method which enables bimanual surgery can be recommended for treating retinal detachment .
Keywords: vitreoretinal surgery • retinal detachment • laser