Clinical Sciences
Surgical outcomes of 27-gauge vitrectomy for rhegmatogenous retinal detachment with air tamponade
Dong Fang, Yantao Wei, Zhaotian Zhang, Min Dong, Xintong Jiang, Ting Zhang, Xuezhi Zhou, Lu Chen, Manjuan Peng, Shaochong Zhang
Published 2018-01-10
Cite as Chin J Exp Ophthalmol, 2018, 36(1): 51-55. DOI: 10.3760/cma.j.issn.2095-0160.2018.01.011
Abstract
ObjectiveTo evaluate the efficacy and safety of 27-gauge sutureless vitrectomy with air tamponade for rhegmatogenous retinal detachment (RRD).
MethodsThe clinical data of 35 consecutive eyes with primary RRD from 35 patients who received 27-gauge vitrectomy with intraocular air tamponade in Zhongshan Eye Center from April 2016 to January 2017 were retrospectively analyzed.The mean follow-up duration was 8.6 months.Best corrected visual acuity (BCVA) (LogMAR) and intraocular pressure (IOP) were examined before surgery, 1 week and 3 months after surgery.The operative duration, sclerotomy sites, retinal reattachment rate, intraoperative and postoperative complications were recorded.
ResultsThe mean duration of vitreous removal was (15.3±3.6) minutes, and the mean duration of operation was (34.5±4.8) minutes.No suturing process was performed at sclerotomy sites in all eyes.The retinal reattachment rate following a single procedure was 100%.The mean BCVA was significantly different among before surgery, 1 week and 3 months after surgery (F=64.12, P<0.01), and the BCVA at 1 week and 3 months after surgery was evidently improved in comparison with before surgery (0.82±0.31 vs. 1.01±0.40; 0.68±0.30 vs.1.01±0.40) (both at P<0.05). The mean IOP was (14.69±3.66), (17.37±2.32) and (16.69±2.45)mmHg (1 mmHg =0.133 kPa) before surgery, 1 week and 3 months after surgery, showing a significant difference among them (F=14.82, P<0.01), and the IOP 1 week and 3 months after surgery was evidently higher than that before surgery (both at P<0.05). The complications included intraoperative iatrogenic retinal breaks in 2 eyes, postoperative hypotony in 1 eye and hypertension in 5 eyes.These complications were curable.
Conclusions27-Gauge vitrectomy and air tamponade for RRD is an effective and safe approach.
Key words:
Vitrectomy/instrumentation; Vitrectomy/methods; Intraocular air tamponade; Rhegmatogenous retinal detachment/surgery; Treatment outcome; Complications; Retrospective studies
Contributor Information
Dong Fang
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Yantao Wei
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Zhaotian Zhang
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Min Dong
Department of Infection Management, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Xintong Jiang
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Ting Zhang
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Xuezhi Zhou
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Lu Chen
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Manjuan Peng
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Shaochong Zhang
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China