Primary vitrectomy in complicated rhegmatogenous retinal detachment - A survey of 205 eyes

被引：50

作者：

Schmidt, JC ^{[1
]}

Rodrigues, EB ^{[1
]}

Hoerle, S ^{[1
]}

Meyer, CH ^{[1
]}

Kroll, P ^{[1
]}

机构：

[1] Univ Marburg, Dept Ophthalmol, Marburg, Germany

来源：

OPHTHALMOLOGICA | 2003年 / 217卷 / 06期

关键词：

primary vitrectomy; retinal detachment; attachment rate; proliferative vitreoretinopathy;

D O I：

10.1159/000073067

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Introduction: In a few types of rhegmatogenous retinal detachment (RRD), scleral buckling (SB) has a lower success, and, here, pars plana vitrectomy (PPV) is a good alternative option. This survey reviews the indications and the surgical outcome of primary PPV with internal tamponade. Patients and Methods: We reviewed 205 eyes operated by primary PPV for RRD at the Department of Ophthalmology of the Philipps University Marburg between the years 1990 and 1997. The indications of PPV were: holes greater than 90degrees; holes posterior to the equator; proliferative vitreoretinopathy grade C; pseudophakic status. Results: A complete reattachment of the retina after absorption of the gas or after silicone oil removal was achieved by 1 operation in 146 eyes (71.2%) and in 195 eyes (95.2%) by a second intervention. Conclusion: Although SB is the standard procedure for the treatment of RRD, complicated cases can be treated successfully with primary PPV. Copyright (C) 2003 S. Karger AG, Basel.

引用

页码：387 / 392

页数：6

共 27 条

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