One-Year Outcome of Vitreous Cortex Remnants Removal Using a Nitinol Flex Loop for Recurrent Retinal Detachment...

Area of Science:

• Ophthalmology
• Surgical Innovation
• Retinal Surgery

Background:

• Recurrent retinal detachment (rRD) poses significant challenges in vitreoretinal surgery.
• Vitreous cortex remnants (VCRs) can complicate pars plana vitrectomy (PPV) and contribute to rRD.
• Effective removal of VCRs is crucial for successful surgical outcomes.

Purpose of the Study:

• To evaluate the 1-year outcomes of removing vitreous cortex remnants (VCRs) using a nitinol flex loop during PPV for rRD.
• To compare the efficacy and safety of the FINESSE Flex loop versus conventional methods for VCRs removal.

Main Methods:

• Retrospective analysis of 95 eyes with rRD and intraoperative VCRs.
• Two groups: conventional PPV (Group A) and PPV with FINESSE Flex loop (Group B).
• Outcomes assessed included vitrectomy duration, anatomic success rate, complications, and best-corrected visual acuity (BCVA) over 12 months.

Main Results:

• Group B demonstrated significantly shorter vitrectomy duration and a lower incidence of iatrogenic retinal breaks compared to Group A.
• The single-surgery anatomic success rate was higher in Group B (98.1%) than in Group A (85.4%).
• No significant differences in final BCVA or total RD surgeries; comparable postoperative complications between groups.

Conclusions:

• The FINESSE Flex loop facilitates efficient VCRs removal during PPV for rRD.
• This method leads to reduced surgical time, fewer iatrogenic retinal breaks, and improved single-surgery success.
• The FINESSE Flex loop offers a safe and effective adjunct for managing rRD.