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Outcomes of primary vitrectomy for rhegmatogenous retinal detachment: interventional retrospective consecutive case series of 116 patients with no pos
David Almeida, MD MBA PhD
Presenter:
David Almeida, MD MBA PhD1, Adrian Babel MS1,2, Kunyong Xu MD3, and Eric K. Chin MD4,5
Authors:
Affiliation:
1. Erie Retinal Surgery & Erie Retina Research, Erie, PA, USA
2. Boonshoft School of Medicine, Dayton, OH, USA
3. Retina Consultants of Georgia, GA, USA
4. Retina Consultants of Southern California, Redlands, CA, USA
5. Loma Linda Eye Institute; Veterans Affair Hospital, Loma Linda, CA, USA
Purpose: The role of face-down posturing following rhegmatogenous retinal detachment (RRD) repair remains a consistent management component; however, there is no direct evidence to allow firm conclusions as to what role face-down positioning plays following RRD repair with modern micro-incisional vitrectomy surgery (MIVS) platforms. We evaluated the anatomic and visual outcomes of primary vitrectomy for RRD repair, employing no amount of post-operative prone positioning (POPP) to clarify the role of face-down posturing for RRD re-attachment.
Methods: Retrospective consecutive interventional case series of 116 eyes in 116 patients undergoing primary vitrectomy for RRD repair. Surgical outcomes, single surgery anatomic success (SSAS), and post-operative best-corrected visual acuity (BCVA) were investigated. The primary objective is to study the anatomic and visual outcomes of vitrectomy RRD re-attachment employing no POPP.
Results: SSAS was achieved in 112 (96.5%) of 116 eyes; SSAS was 100% in phakic patients (n=56) and 93% in pseudophakic patients (n=60), with both groups experiencing a mean improvement in BCVA.
Conclusions: Primary vitrectomy with no POPP is a successful surgical intervention for RRD repair. Our current anatomical closure rate is one of the highest reported in the literature and involved a large number of macula-off RRDs, with minimal complications and significant improvement in BCVA, primarily using 14% C3F8 for gas tamponade.
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