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A Levine, H Renteria; Vitrectomy without Scleral Buckle in the Management of Pseudopakic Retinal Detachment . Invest. Ophthalmol. Vis. Sci. 2002;43(13):655.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To evaluate vitrectomy as a primary treatment in pseudophakic retinal detachment without scleral buckle. Methods: 14 eyes of 14 patients, 11 men and 3 women with retinal detachment (RD) secondary to cataract extraction were recruited. Vitrectomy was performed without scleral buckle with extensive dissection of the vitreous base and laser photocoagulation in the lesions provoking the retinal detachment and in 360 degrees forming a new ora serrata. Results: The retinal detachment presented between one week and 96 weeks after initial surgery, which consisted in extracapsular lens extraction with intraocular lens in 85% and phacoemulsification with intraocular lens in 15% of the patients. Anatomic success was obtained in 13 patients (93%). Median preoperative vision was 20/200. Median postoperative vision improved to 20/80. In eight patients the vision improved, in three, there was no change and in three, the vision decreased. Proliferative vitreoretinopathy complicated the postoperative course in one eye (7%). Conclusion: Primary vitrectomy without scleral buckle is a good alternative to resolve retinal detachment following cataract surgery, with good anatomic and visual results.
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