The Outcomes of Primary Retinal Detachment Surgery with 23-gauge Vitrectomy in Patients without Severe Proliferative Vitreoretinopathy: A Single Surgeon Case Series

Abstract

Aims: To evaluate the outcomes of vitrectomy in patients with primary rhegmatogenous retinal detachment (RRD) without a significant proliferative vitreoretinopathy (PVR). Study Design: Retrospective, interventional, single-surgeon case series. Place and Duration of the Study: Beyoglu Eye Training and Research Hospital, Istanbul, Turkey, between January 2013 and December 2016. Materials and Methods: The patients who underwent vitrectomy for RRD with grade A or B PVR with a follow up period of at least 12 months, and had a post-silicone oil (SO) removal follow-up of at least 6 months (if SO was used as a tamponade) were included. Functional success was defined to have a postoperative best corrected visual aculity ≥ 1.0 LogMAR, and anatomical success was defined to have an attached retina after postoperative month 6 in patients with gas tamponade or after post-silicone oil removal month 6 in patients with silicone oil tamponade. The primary outcome measure of this study was the anatomical success rate after a single surgery. Results: A total of 85 eyes of 85 patients were included. The mean follow-up period was 16.8±5.7 months. Single operation success was obtained in 78 of the 85 patients (91.8%). The recurrent retinal detachment was detected in 7 patients (8.2%). All of the patients were operated again and at the last follow-up visit final anatomical success was achieved in 83 of the 85 patients (97.6%), the remaining 2 patients (2.4%) had attached macula and they were planned to left with permanent silicone oil tamponade. Conclusion: Vitrectomy is an effective method in the treatment of primary RRD without significant PVR.