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Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle.
BMC Ophthalmol. 2015 Dec 09; 15:173.BO

Abstract

BACKGROUND

One of the most challenging problems in vitro-retinal surgery is the recurrence of retinal detachment in the context of high-grade proliferative vitreoretinopathy (PVR). The aim of our retrospective study was to assess the surgical outcomes of pars plana vitrectomy, 180° inferior retinotomy and silicone oil tamponade combined with phacoemulsification and IOL implantation for recurrent inferior retinal detachment with grade C PVR in phakic eyes. The study was carried out at tertiary referral centre - University Hospital of Rome "Tor Vergata".

METHODS

Retrospective analysis of 33 eyes affected by recurrent inferior retinal detachment and grade C PVR after primary encircle scleral buckling (SB group - 12 eyes), or pars plana vitrectomy (PPV group - 21 eyes). All patients subsequently underwent PPV and silicone oil tamponade at our Institution. The first outcome measure was retinal reattachment, and second outcomes were reoperation rates, best-corrected visual acuity (BCVA) and postoperative complications.

RESULTS

All patients in the SB group and 19 (90%) patients of the PPV group achieved retinal reattachment. Final BCVA was better in the SB group (p = 0.045). Two eyes in the PPV group required a third vitrectomy with heavy silicone oil tamponade. Postoperative complications included silicone oil in a deep anterior chamber (3 eyes in each group), untreatable hypotony in 1 eye in the PPV group (that led to enucleation due to phthisis bulbi), and elevated intraocular pressure in 3 patients (2 eyes in the PPV group).

CONCLUSIONS

Phacoemulsification with IOL implant, PPV with silicone oil tamponade associated with 180° inferior retinotomy may lead to better anatomical success in patients who have previously undergone SB procedure for inferior retinal detachment repair compared with eyes that underwent a primary PPV.

Authors+Show Affiliations

Ophthalmology Unit, Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Via Montpelier 1, 00133, Rome, Italy. mancino@med.uniroma2.it.Ophthalmology Unit, Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Via Montpelier 1, 00133, Rome, Italy. francescoaiello@hotmail.com.Ophthalmology Unit, Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Via Montpelier 1, 00133, Rome, Italy. elenaciuffoletti@gmail.com.Ophthalmology Unit, Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Via Montpelier 1, 00133, Rome, Italy. emi.dicarlo@hotmail.it.Ophthalmology Unit, Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Via Montpelier 1, 00133, Rome, Italy. angelica.cerulli@gmail.com.Ophthalmology Unit, Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Via Montpelier 1, 00133, Rome, Italy. nucci@med.uniroma2.it.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26645589

Citation

Mancino, Raffaele, et al. "Inferior Retinotomy and Silicone Oil Tamponade for Recurrent Inferior Retinal Detachment and Grade C PVR in Eyes Previously Treated With Pars Plana Vitrectomy or Scleral Buckle." BMC Ophthalmology, vol. 15, 2015, p. 173.
Mancino R, Aiello F, Ciuffoletti E, et al. Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle. BMC Ophthalmol. 2015;15:173.
Mancino, R., Aiello, F., Ciuffoletti, E., Di Carlo, E., Cerulli, A., & Nucci, C. (2015). Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle. BMC Ophthalmology, 15, 173. https://doi.org/10.1186/s12886-015-0167-z
Mancino R, et al. Inferior Retinotomy and Silicone Oil Tamponade for Recurrent Inferior Retinal Detachment and Grade C PVR in Eyes Previously Treated With Pars Plana Vitrectomy or Scleral Buckle. BMC Ophthalmol. 2015 Dec 9;15:173. PubMed PMID: 26645589.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle. AU - Mancino,Raffaele, AU - Aiello,Francesco, AU - Ciuffoletti,Elena, AU - Di Carlo,Emiliano, AU - Cerulli,Angelica, AU - Nucci,Carlo, Y1 - 2015/12/09/ PY - 2015/07/25/received PY - 2015/12/02/accepted PY - 2015/12/10/entrez PY - 2015/12/10/pubmed PY - 2016/5/28/medline SP - 173 EP - 173 JF - BMC ophthalmology JO - BMC Ophthalmol VL - 15 N2 - BACKGROUND: One of the most challenging problems in vitro-retinal surgery is the recurrence of retinal detachment in the context of high-grade proliferative vitreoretinopathy (PVR). The aim of our retrospective study was to assess the surgical outcomes of pars plana vitrectomy, 180° inferior retinotomy and silicone oil tamponade combined with phacoemulsification and IOL implantation for recurrent inferior retinal detachment with grade C PVR in phakic eyes. The study was carried out at tertiary referral centre - University Hospital of Rome "Tor Vergata". METHODS: Retrospective analysis of 33 eyes affected by recurrent inferior retinal detachment and grade C PVR after primary encircle scleral buckling (SB group - 12 eyes), or pars plana vitrectomy (PPV group - 21 eyes). All patients subsequently underwent PPV and silicone oil tamponade at our Institution. The first outcome measure was retinal reattachment, and second outcomes were reoperation rates, best-corrected visual acuity (BCVA) and postoperative complications. RESULTS: All patients in the SB group and 19 (90%) patients of the PPV group achieved retinal reattachment. Final BCVA was better in the SB group (p = 0.045). Two eyes in the PPV group required a third vitrectomy with heavy silicone oil tamponade. Postoperative complications included silicone oil in a deep anterior chamber (3 eyes in each group), untreatable hypotony in 1 eye in the PPV group (that led to enucleation due to phthisis bulbi), and elevated intraocular pressure in 3 patients (2 eyes in the PPV group). CONCLUSIONS: Phacoemulsification with IOL implant, PPV with silicone oil tamponade associated with 180° inferior retinotomy may lead to better anatomical success in patients who have previously undergone SB procedure for inferior retinal detachment repair compared with eyes that underwent a primary PPV. SN - 1471-2415 UR - https://www.unboundmedicine.com/medline/citation/26645589/Inferior_retinotomy_and_silicone_oil_tamponade_for_recurrent_inferior_retinal_detachment_and_grade_C_PVR_in_eyes_previously_treated_with_pars_plana_vitrectomy_or_scleral_buckle_ L2 - https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-015-0167-z DB - PRIME DP - Unbound Medicine ER -