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International Ophthalmology

Published in:

01-01-2019 | Original Paper

Primary vitrectomy with short-term silicone oil tamponade for uncomplicated rhegmatogenous retinal detachment

Authors: Murat Karacorlu, Mumin Hocaoglu, Isil Sayman Muslubas, M. Giray Ersoz, Serra Arf, Omer Uysal

Published in: International Ophthalmology | Issue 1/2019

Abstract

Purpose

To compare the outcomes of phakic and pseudophakic uncomplicated rhegmatogenous retinal detachment (RRD) treated with primary pars plana vitrectomy (PPV) and short-term silicone oil (SO) tamponade.

Methods

A retrospective chart review of 201 eyes (185 patients) with uncomplicated RRD treated with primary 23-gauge PPV and short-term SO tamponade. Anatomical success was defined as a reattached retina for at least 6 months after SO removal.

Results

The analysis consisted of 111 phakic eyes and 90 pseudophakic eyes. The mean duration of SO tamponade in phakic eyes was 8.5 ± 1.9 and in pseudophakic eyes was 8.3 ± 1.9 months (P = 0.39). The primary reattachment rate was 93% in the phakic group and 98% in the pseudophakic group (P = 0.19). The mean Snellen VA equivalent at the final visit was 20/30 in both groups. Final VA ≥ 20/40 was achieved in 81% of phakic and 86% of pseudophakic eyes (P = 0.69). Postoperative complications included cataract in the phakic group (100%), transient elevation of intraocular pressure (IOP) (29%), epiretinal membrane (8%), proliferative vitreoretinopathy (7%), cystoid macular edema (3%), secondary macular hole (2%), persistent elevation of IOP (1.5%), and persistent hypotony (1%).

Conclusions

The success rates and functional outcomes of primary 23-gauge PPV with short-term SO tamponade did not differ significantly between the two groups, suggesting that lens status is not the single most important factor influencing the final results. The use of short-term SO was not associated with keratopathy, visual loss without any apparent reason and high rates of chronic elevation of IOP or redetachment following SO removal.

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Title: Primary vitrectomy with short-term silicone oil tamponade for uncomplicated rhegmatogenous retinal detachment
Authors: Murat Karacorlu
Mumin Hocaoglu
Isil Sayman Muslubas
M. Giray Ersoz
Serra Arf
Omer Uysal
Publication date: 01-01-2019
Publisher: Springer Netherlands
Published in: International Ophthalmology / Issue 1/2019
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-017-0787-9

At a glance: The STEP trials

Springer Medicine

Primary vitrectomy with short-term silicone oil tamponade for uncomplicated rhegmatogenous retinal detachment

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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