Research article summary (published 29 Sep 2009):

Pars plana vitrectomy alone with diffuse illumination and vitreous dissection to manage primary retinal detachment with unseen breaks.

Full Abstract

OBJECTIVE: To report on pars plana vitrectomy with diffuse illumination, wide-angle viewing, and meticulous vitreous dissection for identifying and managing retinal breaks when no breaks were detected before surgery for primary rhegmatogenous retinal detachment. METHODS: Prospective clinical study of 61 of 800 consecutive eyes (7.6%) (61 of 782 patients) seen at a university hospital during the 48-month study for primary rhegmatogenous retinal detachment in whom no break could be identified preoperatively despite thorough examinations. All of the patients underwent pars plana vitrectomy alone with meticulous peripheral vitreous dissection assisted by diffuse illumination, a wide-angle viewing system, perfluorocarbon liquid, triamcinolone acetonide suspension, and balanced salt solution to identify and manage primary retinal breaks. RESULTS: Retinal breaks were found intraoperatively in 60 eyes (98%). In 51 of 61 eyes (84%), balanced salt solution was left in the vitreous cavity. Best-corrected visual acuity was 20/40 or better in 25 of 61 study eyes (41%). Primary retinal reattachment was attained in 60 study eyes (98%). Final reattachment was achieved in all 61 eyes (100%). CONCLUSIONS: Pars plana vitrectomy alone with diffuse illumination and extensive vitreous dissection led to identification and management of retinal breaks undetectable before surgery, achieving a high primary reattachment rate.

Author information

Author/s: Martínez-Castillo, Vicente (V); Boixadera, Anna (A); García-Arumí, José (J);

Affiliation: Vall d'Hebrón Hospital, Universidad Autónoma de Barcelona, Barcelona, Spain. 31756vmc(-atsign-)comb.es

Journal and publication information

Publication Type: Journal Article

Journal: Archives of ophthalmology (Arch Ophthalmol), published in United States. (Language: eng)

Reference: 2009-Oct; vol 127 (issue 10) : pp 1297-304

Dates: Created 2009/10/13; Completed 2009/11/02;

PMID: 19822846, status: MEDLINE (last retrieval date: 11/2/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Acetates Adult Aged Aged, 80 and over Cryosurgery Drug Combinations Female Fluorocarbons - administration & dosage Humans Intraoperative Period Lighting Male

Middle Aged Minerals Prospective Studies Retinal Detachment - surgery Retinal Perforations - diagnosis; surgery Silicone Oils - administration & dosage Sodium Chloride Triamcinolone Acetonide - diagnostic use Visual Acuity - physiology Vitrectomy Vitreous Body - surgery Young Adult

Associated Chemicals: Acetates (0) ; BSS solution (0) ; Drug Combinations (0) ; Fluorocarbons (0) ; Minerals (0) ; Silicone Oils (0) ; Triamcinolone Acetonide (76-25-5) ; Sodium Chloride (7647-14-5)

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