May 2006
Volume 47, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2006
Factors Affecting The Successful Reattachment Of Rhegmatogenous Retinal Detachments Performed By Young Vitreoretinal Fellows
C. Shiina; Y. Takizawa; M. Kiyokawa; T. Sakuma; N. Hatano; M. Suami; H. Nakajima; A. Mizota; M. Tanaka
Author Affiliations & Notes
  • C. Shiina
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • Y. Takizawa
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • M. Kiyokawa
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • T. Sakuma
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • N. Hatano
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • M. Suami
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • H. Nakajima
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • A. Mizota
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • M. Tanaka
    Ophthalmology, Juntendo University, Urayasu Hospital, Urayasu, Japan
  • Footnotes
    Commercial Relationships  C. Shiina, None; Y. Takizawa, None; M. Kiyokawa, None; T. Sakuma, None; N. Hatano, None; M. Suami, None; H. Nakajima, None; A. Mizota, None; M. Tanaka, None.
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science May 2006, Vol.47, 1440. doi:
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      C. Shiina, Y. Takizawa, M. Kiyokawa, T. Sakuma, N. Hatano, M. Suami, H. Nakajima, A. Mizota, M. Tanaka; Factors Affecting The Successful Reattachment Of Rhegmatogenous Retinal Detachments Performed By Young Vitreoretinal Fellows . Invest. Ophthalmol. Vis. Sci. 2006;47(13):1440.

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Abstract

Purpose: : To determine the factors affecting the rate of reattachment of rhegmatogenous retinal detachments (RRDs) performed by inexperienced fellows in our vitreoretinal program. The pre– and intraoperative factors which made it necessary for additional operations were investigated.

Methods: : The medical records of 620 eyes with different types of RRD that had surgery during the past five years were reviewed. The choice of SB or VTX was determined by the senior surgeon based on the location, number, and size of the retinal tears. RRD that were deeper, larger, and eyes with multiple tears were treated by VTX. The pre– and intraoperative factors associated with failure following the first operations, the type of additional procedures, and the final reattachment rate was investigated.

Results: : Among the 620 eyes, 344 eyes had SB and 276 eyes had VTX as the first surgery. Sixty of the 344 eyes (17.4%) in the SB group required re–operations. A higher percentage of eyes that had drainage of subretinal fluid or had retinal tears located in lower quadrants required additional surgery, e.g., VTX or relocation of the buckle. The final reattachment rate was 99.0%. In contrast, 25 of the 276 eyes (9.3%) in the VTX group needed a second operation. There was no statistical relationship between the success rate and re–operative conditions, however, analysis revealed that the main cause of a re–detachment was new retinal tears near each port. The final success rate was 97% in the VTX group.

Conclusions: : Senior surgeons assisting fellows performing SB should pay special attention to eyes which need drainage and eyes with breaks located in the lower quadrants. For VTX, sufficient removal of gel and careful fundus examination especially near each port at the end of operation appears to be important.

Keywords: retinal detachment • vitreoretinal surgery • clinical (human) or epidemiologic studies: outcomes/complications 
© 2006, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2023 Association for Research in Vision and Ophthalmology.
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