Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments
Section snippets
Patients and methods
Two hundred eighty-three consecutive patients (294 eyes) with pseudophakia, peripheral retinal tears, and new primary, rhegmatogenous retinal detachments were referred to Retinal Consultants of Arizona from 1990 through 1997 for a vitrectomy operation to repair the retinal detachment. The procedure was started in 1990 by one of us (R.V.C.) but was stopped in 1992. The surgery and follow-up were completed on the patients by two of us (J.O.S. and S.R.S.). Eyes with grade C or worse proliferative
Results
Two hundred seventy-five pseudophakic eyes (264 patients) with rhegmatogenous retinal detachments were followed for longer than 6 months. Patients were symptomatic for an average of 15 days before their operation. Ninety-seven eyes (35%) had retinal detachments with the macula initially attached while 178 eyes (65%) had retinal detachments where the macula was detached initially (Table 1). Retinal tears were often seen before surgery, but because the visualization of the peripheral retina and
Discussion
We report the results of 275 consecutive pseudophakic eyes with rhegmatogenous retinal detachments that underwent primary PPV to repair the detachments. The main stimulus for the use of this procedure was the disappointing reattachment rate of scleral buckling after one operation2, 4, 5 and the severe anisometropia that resulted from the scleral buckling procedure.13
Of the 97 eyes with macula-attached retinal detachments, 88 (91%) were reattached with 1 operation, and of the 178 eyes with
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Pseudophakic retinal detachments
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Drs. Campo and Flindall are deceased.