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Outcomes and complications of rhegmatogenous retinal detachment repair with selective sutureless 25-gauge pars plana vitrectomy.
Am J Ophthalmol. 2010 Apr; 149(4):630-634.e1.AJ

Abstract

PURPOSE

To evaluate the outcomes and complications associated with the repair of rhegmatogenous retinal detachment (RRD) using 25-gauge pars plana vitrectomy (PPV) with selective sclerotomy suturing.

DESIGN

Retrospective case series.

METHODS

Analysis of consecutive 25-gauge pars plana vitrectomy cases performed for treating RRD was conducted. Reviewed parameters included demographics, ophthalmic history, results of ocular examinations, and intraoperative as well as postoperative complications. Analysis of the surgery digital video disc recordings revealed complications such as iatrogenic retinal breaks and retinal or subretinal tugging by the soft-tip cannula.

RESULTS

Forty-two eyes with RRD were evaluated with a follow-up of at least 3 months. The preoperative best-corrected visual acuity (BCVA) of 20 eyes with macula-on RRD ranged between 20/20 and 20/40 (mean, 20/30). Twenty-two eyes with macula-off RRD had preoperative BCVA ranging between 20/70 and hand movements (mean, 20/400). The single-surgery success rate was 97.4%. The final BCVA of the macula-on eyes ranged between 20/20 and 20/40 (mean, 20/30). In the eyes with macula-off RRD, the postoperative BCVA ranged between 20/30 and 20/400 (mean, 20/73). Sutures were placed on at least 1 scleral wound because of intraoperative gas leakage in 36.4% of the eyes. On the first postoperative day, all the eyes receiving gas tamponade had a 100% fill. None of the eyes in the study had postoperative hypotony, ciliochoroidal effusion, or choroidal hemorrhage. No cases of postoperative subconjunctival gas or oil leakage were noted.

CONCLUSIONS

Modification of the standard 25-gauge sutureless technique with selective scleral wound suturing may contribute to preventing wound leakage and possible postoperative complications of hypotony or partial tamponade.

Authors+Show Affiliations

Department of Ophthalmology, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel. danb2@clalit.org.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20138604

Citation

Bourla, Dan H., et al. "Outcomes and Complications of Rhegmatogenous Retinal Detachment Repair With Selective Sutureless 25-gauge Pars Plana Vitrectomy." American Journal of Ophthalmology, vol. 149, no. 4, 2010, pp. 630-634.e1.
Bourla DH, Bor E, Axer-Siegel R, et al. Outcomes and complications of rhegmatogenous retinal detachment repair with selective sutureless 25-gauge pars plana vitrectomy. Am J Ophthalmol. 2010;149(4):630-634.e1.
Bourla, D. H., Bor, E., Axer-Siegel, R., Mimouni, K., & Weinberger, D. (2010). Outcomes and complications of rhegmatogenous retinal detachment repair with selective sutureless 25-gauge pars plana vitrectomy. American Journal of Ophthalmology, 149(4), 630-e1. https://doi.org/10.1016/j.ajo.2009.11.003
Bourla DH, et al. Outcomes and Complications of Rhegmatogenous Retinal Detachment Repair With Selective Sutureless 25-gauge Pars Plana Vitrectomy. Am J Ophthalmol. 2010;149(4):630-634.e1. PubMed PMID: 20138604.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcomes and complications of rhegmatogenous retinal detachment repair with selective sutureless 25-gauge pars plana vitrectomy. AU - Bourla,Dan H, AU - Bor,Elite, AU - Axer-Siegel,Ruth, AU - Mimouni,Karin, AU - Weinberger,Dov, Y1 - 2010/02/06/ PY - 2009/07/27/received PY - 2009/10/28/revised PY - 2009/11/01/accepted PY - 2010/2/9/entrez PY - 2010/2/9/pubmed PY - 2010/4/23/medline SP - 630 EP - 634.e1 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 149 IS - 4 N2 - PURPOSE: To evaluate the outcomes and complications associated with the repair of rhegmatogenous retinal detachment (RRD) using 25-gauge pars plana vitrectomy (PPV) with selective sclerotomy suturing. DESIGN: Retrospective case series. METHODS: Analysis of consecutive 25-gauge pars plana vitrectomy cases performed for treating RRD was conducted. Reviewed parameters included demographics, ophthalmic history, results of ocular examinations, and intraoperative as well as postoperative complications. Analysis of the surgery digital video disc recordings revealed complications such as iatrogenic retinal breaks and retinal or subretinal tugging by the soft-tip cannula. RESULTS: Forty-two eyes with RRD were evaluated with a follow-up of at least 3 months. The preoperative best-corrected visual acuity (BCVA) of 20 eyes with macula-on RRD ranged between 20/20 and 20/40 (mean, 20/30). Twenty-two eyes with macula-off RRD had preoperative BCVA ranging between 20/70 and hand movements (mean, 20/400). The single-surgery success rate was 97.4%. The final BCVA of the macula-on eyes ranged between 20/20 and 20/40 (mean, 20/30). In the eyes with macula-off RRD, the postoperative BCVA ranged between 20/30 and 20/400 (mean, 20/73). Sutures were placed on at least 1 scleral wound because of intraoperative gas leakage in 36.4% of the eyes. On the first postoperative day, all the eyes receiving gas tamponade had a 100% fill. None of the eyes in the study had postoperative hypotony, ciliochoroidal effusion, or choroidal hemorrhage. No cases of postoperative subconjunctival gas or oil leakage were noted. CONCLUSIONS: Modification of the standard 25-gauge sutureless technique with selective scleral wound suturing may contribute to preventing wound leakage and possible postoperative complications of hypotony or partial tamponade. SN - 1879-1891 UR - https://www.unboundmedicine.com/medline/citation/20138604/Outcomes_and_complications_of_rhegmatogenous_retinal_detachment_repair_with_selective_sutureless_25_gauge_pars_plana_vitrectomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(09)00805-8 DB - PRIME DP - Unbound Medicine ER -