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Vitrectomy With Short-Term Perfluorocarbon Liquid Tamponade for Retinal Detachment With Inferior Retinal Breaks and
Mehmet Citirik1, Cagri Ilhan2, Tugce Horozoglu Ceran3
1Department of Ophthalmology, University of Health Sciences, Ankara Etlik City Hospital, Ankara, Turkey.
Journal of Vitreoretinal Diseases
|December 10, 2024
Summary
Pars plana vitrectomy with perfluorocarbon liquid (PFCL) tamponade and scleral buckling show similar outcomes for treating complex retinal detachments. Both methods effectively manage rhegmatogenous retinal detachment (RRD) with proliferative vitreoretinopathy (PVR), offering favorable anatomic and functional results.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Vitreoretinal Medicine
Background:
- Rhegmatogenous retinal detachment (RRD) with inferior breaks and proliferative vitreoretinopathy (PVR) presents a surgical challenge.
- Traditional treatments often involve complex procedures with varying outcomes.
Purpose of the Study:
- To compare the efficacy of pars plana vitrectomy (PPV) with short-term perfluorocarbon liquid (PFCL) tamponade versus combined PPV with scleral buckling.
- To evaluate anatomic and functional outcomes in patients with RRD complicated by PVR.
Main Methods:
- Retrospective review of medical records for patients undergoing surgery for RRD with inferior breaks and PVR.
- Group 1: PPV with PFCL tamponade. Group 2: PPV with scleral buckling and silicone oil tamponade.
- Comparison of surgical duration, recurrent RD rates, best-corrected visual acuity (BCVA), and intraocular pressure (IOP).
Main Results:
- No significant differences in baseline characteristics between the 48 eyes in Group 1 and 36 eyes in Group 2.
- Surgical duration was significantly shorter in Group 1 (42.8 min) compared to Group 2 (81.5 min) (P < .001).
- Recurrent RD rates (6.2% vs 5.5%), BCVA, and IOP at 6 months were similar between groups (P > .05). Transient anterior chamber inflammation occurred in 14.5% of Group 1 eyes.
Conclusions:
- PPV with PFCL tamponade is a viable alternative to PPV with scleral buckling for RRD with inferior breaks and PVR.
- Both surgical approaches yield comparable favorable anatomic and functional outcomes.
- PFCL offers a potentially shorter surgical time compared to scleral buckling in these complex cases.
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