Contemporary management of rhegmatogenous retinal detachment due to giant retinal tears: A consecutive case series

John D. Pitcher, Mohammed Ali Khan, Philip P. Storey, Natalie Hsiao-Fang-yen, Michael L. Dollin, Jason Hsu, Allen C. Ho, Carl D. Regillo, Sunir J. Garg

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

BACKGROUND AND OBJECTIVE: To investigate outcomes of contemporary surgical techniques for repair of rhegmatogenous retinal detachments (RRD) associated with giant retinal tears (GRT). PATIENTS AND METHODS: Retrospective, consecutive case series including 58 eyes of 58 patients. Mean age was 52 years (range: 16 to 83 years). All patients underwent 23-gauge pars plana vitrectomy with use of perfluorocarbon liquid and intravitreal tamponade (28 with silicone oil, 25 with octafluo-ropropane gas, and five with sulfur hexafluoride gas). Scleral buckle (SB) was placed in 30 eyes (52%). RESULTS: At a mean follow-up of 17 months, mean visual acuity improved from 20/500 preoperatively to 20/88 at final follow-up. Fifty-one patients (88%) had single-surgery anatomic success, and all pa-tients achieved final retinal reattachment. Use of SB (P = 1.0), silicone oil (P = .1), or 360° endophotocoagulation (P = .7) did not correlate with higher rates of successful repair. CONCLUSION: Contemporary vitreoretinal surgery techniques achieve high rates of primary anatomic success in GRT-related RRDs.

Original languageEnglish
Pages (from-to)566-570
Number of pages5
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume46
Issue number5
DOIs
StatePublished - 1 May 2015
Externally publishedYes

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