May 2005
Volume 46, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2005
Painless Minimally Invasive Technique (25 Gauge Vitrectomy Without Scleral Buckle) for the Repair of Acute Retinal Detachment
Author Affiliations & Notes
  • L.P. Chong
    Dept of Ophthalmology, Doheny Retina Institute, Doheny Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, CA
  • Footnotes
    Commercial Relationships  L.P. Chong, None.
  • Footnotes
    Support  NIH Grant EY03040, Fletcher Jones Fund, Research to Prevent Blindness
Investigative Ophthalmology & Visual Science May 2005, Vol.46, 5495. doi:
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      L.P. Chong; Painless Minimally Invasive Technique (25 Gauge Vitrectomy Without Scleral Buckle) for the Repair of Acute Retinal Detachment . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5495.

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Abstract

Abstract: : Purpose: To determine the efficacy of a painless minimally invasive technique for the repair of acute rhegmatogenous retinal detachment. Methods: Retrospective review of 15 consecutive cases of rhegmatogenous retinal detachment repair. Nine eyes of nine patients had posterior chamber intraocular lenses (one corneal graft and one failed pneumatic retinopexy.) Six eyes of six patients were phakic. Technique: 25 gauge vitrectomy, cryoretinopexy and/or endolaser. Air, SF6, C3F8 gas tampanade. No scleral buckle. Results: Overall five eyes (33.3%) were successfully repaired with one procedure. Three of eight (37.5%) pseudophakic and two of six (33.3%) phakic eyes were successfully repaired with one procedure. Air tamponade was used in five of the nine (55.5%) pseudophakic and in five of the six (83.3%) phakic eyes. Conclusions:Only one third of retinal detachments repaired with a painless minimally invasive technique were successfully reattached without supplemental procedures. The use of short term tamponade may contribute to failure.

Keywords: vitreoretinal surgery • retinal detachment • clinical (human) or epidemiologic studies: outcomes/complications 
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