Original Paper

Primary Vitrectomy in Complicated Rhegmatogenous Retinal Detachment - A Survey of 205 Eyes
J.C. Schmidt, E.B. Rodrigues, S. Hoerle, C.H. Meyer, P. Kroll

Department of Ophthalmology, Philipps University, Marburg, Germany

Address of Corresponding Author

Ophthalmologica 2003;217:387-392 (DOI: 10.1159/000073067)

  Key Words

• Primary vitrectomy
• Retinal detachment
• Attachment rate
• Proliferative vitreoretinopathy

  Abstract

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 90°; 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 © 2003 S. Karger AG, Basel

  Author Contacts

J.C. Schmidt
Klinik für Augenheilkunde
Robert-Koch-Strasse 4
DE-35033 Marburg (Germany)
Tel. +49 6421 28 62600, Fax +49 6421 28 65678, E-Mail jc.schmidt@gmx.de

  Article Information

Received: February 7, 2003
Accepted: February 27, 2003
Number of Print Pages : 6
Number of Figures : 5, Number of Tables : 0, Number of References : 27