Surgical outcomes of 27-gauge vitrectomy for rhegmatogenous retinal detachment with air tamponade

Authors: Fang Dong,  Wei Yantao,  Zhang Zhaotian,  Dong Min,  Jiang Xintong,  Zhang Ting,  Zhou Xuezhi,  Chen Lu,  Peng Manjuan,  Zhang Shaochong

 DOI: 10.3760/cma.j.issn.2095-0160.2018.01.011
Published 2018-01-10
Cite as Chin J Exp Ophthalmol, 2018,36(1): 51-55.

Abstract

Objective

To evaluate the efficacy and safety of 27-gauge sutureless vitrectomy with air tamponade for rhegmatogenous retinal detachment (RRD).

Methods

The 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.

Results

The 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.

Conclusions

27-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

Fang Dong
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Wei Yantao
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Zhang Zhaotian
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Dong Min
Department of Infection Management, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Jiang Xintong
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Zhang Ting
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Zhou Xuezhi
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Chen Lu
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Peng Manjuan
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
Zhang Shaochong
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, China
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