Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break
Purpose. To evaluate the effects of a modification of the traditional 25-gauge pars plana vitrectomy technique in the treatment of uncomplicated macula-on rhegmatogenous retinal detachment (RRD) with intermediate retinal break(s) and marked vitreous traction in the phakic eye. Methods. Prospective,...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/6127932 |
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| author | Vincenza Bonfiglio Mario D. Toro Antonio Longo Teresio Avitabile Robert Rejdak Katarzyna Nowomiejska Tomasz Choragiewicz Andrea Russo Matteo Fallico Agnieszka Kaminska Elina Ortisi Stefano Zenoni Michele Reibaldi |
| author_facet | Vincenza Bonfiglio Mario D. Toro Antonio Longo Teresio Avitabile Robert Rejdak Katarzyna Nowomiejska Tomasz Choragiewicz Andrea Russo Matteo Fallico Agnieszka Kaminska Elina Ortisi Stefano Zenoni Michele Reibaldi |
| author_sort | Vincenza Bonfiglio |
| collection | DOAJ |
| description | Purpose. To evaluate the effects of a modification of the traditional 25-gauge pars plana vitrectomy technique in the treatment of uncomplicated macula-on rhegmatogenous retinal detachment (RRD) with intermediate retinal break(s) and marked vitreous traction in the phakic eye. Methods. Prospective, noncomparative, and interventional case series. All consecutive phakic eyes with primary uncomplicated macula-on RRD with intermediate retinal break(s) and marked vitreous traction, with at least 1 year of postoperative follow-up, were enrolled. In all eyes, “localized 25-gauge vitrectomy” under air infusion with localized removal of the vitreous surrounding the retinal break(s), in association with laser photocoagulation and air tamponade, was performed. The primary end point was the rate of primary retinal attachment. Secondary end points were cataract progression and assessed by digital Scheimpflug lens photography (mean change of nuclear density units) and the rate of complications. Results. Thirty-two phakic eyes were included in the final analysis. At 12 months, the primary outcome of anatomical success was achieved in 94% of eyes. The mean nuclear density units did not change significantly at any time point during the follow-up. After localized vitrectomy, one eye developed an epiretinal membrane, and one eye developed cystoid macular edema; no other significant complications were reported. Conclusions. “Localized vitrectomy” has a high anatomical success rate in phakic eyes with primary uncomplicated macula-on RRD with intermediate retinal break(s) and marked vitreous traction, without causing progression of cataract. |
| format | Article |
| id | doaj-art-bcf52155406c4436b741a1061cd24c2b |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-bcf52155406c4436b741a1061cd24c2b2025-02-03T05:52:03ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/61279326127932Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate BreakVincenza Bonfiglio0Mario D. Toro1Antonio Longo2Teresio Avitabile3Robert Rejdak4Katarzyna Nowomiejska5Tomasz Choragiewicz6Andrea Russo7Matteo Fallico8Agnieszka Kaminska9Elina Ortisi10Stefano Zenoni11Michele Reibaldi12Eye Clinic, University of Catania, Catania, ItalyEye Clinic, University of Catania, Catania, ItalyEye Clinic, University of Catania, Catania, ItalyEye Clinic, University of Catania, Catania, ItalyDepartment of General Ophthalmology, Medical University of Lublin, Lublin, PolandDepartment of General Ophthalmology, Medical University of Lublin, Lublin, PolandDepartment of General Ophthalmology, Medical University of Lublin, Lublin, PolandEye Clinic, University of Catania, Catania, ItalyEye Clinic, University of Catania, Catania, ItalyFaculty of Family Studies, Cardinal Stefan Wyszynski University, Warsaw, PolandEye Clinic, University of Catania, Catania, ItalyLife Clinic, Milano, ItalyEye Clinic, University of Catania, Catania, ItalyPurpose. To evaluate the effects of a modification of the traditional 25-gauge pars plana vitrectomy technique in the treatment of uncomplicated macula-on rhegmatogenous retinal detachment (RRD) with intermediate retinal break(s) and marked vitreous traction in the phakic eye. Methods. Prospective, noncomparative, and interventional case series. All consecutive phakic eyes with primary uncomplicated macula-on RRD with intermediate retinal break(s) and marked vitreous traction, with at least 1 year of postoperative follow-up, were enrolled. In all eyes, “localized 25-gauge vitrectomy” under air infusion with localized removal of the vitreous surrounding the retinal break(s), in association with laser photocoagulation and air tamponade, was performed. The primary end point was the rate of primary retinal attachment. Secondary end points were cataract progression and assessed by digital Scheimpflug lens photography (mean change of nuclear density units) and the rate of complications. Results. Thirty-two phakic eyes were included in the final analysis. At 12 months, the primary outcome of anatomical success was achieved in 94% of eyes. The mean nuclear density units did not change significantly at any time point during the follow-up. After localized vitrectomy, one eye developed an epiretinal membrane, and one eye developed cystoid macular edema; no other significant complications were reported. Conclusions. “Localized vitrectomy” has a high anatomical success rate in phakic eyes with primary uncomplicated macula-on RRD with intermediate retinal break(s) and marked vitreous traction, without causing progression of cataract.http://dx.doi.org/10.1155/2018/6127932 |
| spellingShingle | Vincenza Bonfiglio Mario D. Toro Antonio Longo Teresio Avitabile Robert Rejdak Katarzyna Nowomiejska Tomasz Choragiewicz Andrea Russo Matteo Fallico Agnieszka Kaminska Elina Ortisi Stefano Zenoni Michele Reibaldi Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break Journal of Ophthalmology |
| title | Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break |
| title_full | Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break |
| title_fullStr | Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break |
| title_full_unstemmed | Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break |
| title_short | Modified Vitrectomy Technique for Phakic Rhegmatogenous Retinal Detachment with Intermediate Break |
| title_sort | modified vitrectomy technique for phakic rhegmatogenous retinal detachment with intermediate break |
| url | http://dx.doi.org/10.1155/2018/6127932 |
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