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[Trans-scleral sutureless vitrectomy with a 25-G system for rhegmatogenous retinal detachment treatment]
L E Pérez-González1, J J Lajara-Blesa
1Servicio de Oftalmología, Hospital General Universitario Morales Meseguer, Murcia, España. luiseloyperez@hotmail.com
Purpose:
The evaluation of the trans-scleral sutureless vitrectomy (TSV) efficiency using a 25G system as an alternative in rhegmatogenous retinal detachment (RRD) treatment.
Methods:
Patients treated for RRD with TSV have been reviewed taking into account their age, phakic or pseudophakic state, RRD localization and extension, surgical technique and post-operative resolution.
Results:
Twenty two eyes of 22 patients have been treated for RRD with TSV. The average age was 54.3 years. 50% of the eyes were phakic. Eight of the detachments were "macula-off" at the time of diagnosis. SF6 was used in 5 cases and air in the remainder. Retinopexia of the breaks was done with trans-scleral cryocoagulation in 13 cases, with laser endophotocoagulation in 6 cases, and with both methods in 3 cases. The average follow-up time was 6.8 months, and the main complications were cataracts in 7 of 11 phakic eyes (63.6%) and a new retinal detachment in 4 eyes (18.2%). The intraocular pressures were similar to those before surgery and in 18 cases (81.8%) the visual acuity was better.
Conclusion:
TSV is effective in the treatment of RRD but with some limitations like the need for a learning period and a high incidence of cataracts.
