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Management of Inferior Breaks in Pseudophakic Rhegmatogenous Retinal Detachment With Pars Plana Vitrectomy and Air
Vicente Martínez-Castillo, MD;
Alicia Verdugo, MD;
Anna Boixadera, MD;
José García-Arumí, MD;
Borja Corcóstegui, MD
Arch Ophthalmol. 2005;123:1078-1081.
Objective To determine the role of pars plana vitrectomy without scleral buckling and air as a tamponade with 24 hours of prone positioning in the management of inferior breaks in primary pseudophakic rhegmatogenous retinal detachment.
Methods Prospective, noncomparative, interventional case series. Fifteen consecutive eyes (15 patients) with primary pseudophakic rhegmatogenous retinal detachment with causative breaks located between the 4-o’clock and 8-o’clock positions underwent pars plana vitrectomy with air tamponade. The prone position was maintained for 24 hours. Anatomic and functional results are presented.
Results The anatomic reattachment rate was 93.3% after 1 procedure and 100% at the 6-month visit. Mean preoperative best-corrected visual acuity was 20/60 (range, 20/400 to 20/25) and mean postoperative best-corrected visual acuity was 20/30 (range, 20/100 to 20/20). In 1 case the retina redetached at the second week because of an undetected break. Postoperative epiretinal membrane was observed in 1 case.
Conclusion Pars plana vitrectomy and air tamponade with only 24 hours of prone positioning postoperatively is effective in the management of primary pseudophakic rhegmatogenous retinal detachment with causative breaks between the 4-o’clock and 8-o’clock positions.
Author Affiliations: Vall d’Hebrón Hospital, Universidad Autónoma de Barcelona (Drs Martínez-Castillo, Verdugo, Boixadera, and García-Arumí); Instituto Oftalmológico de Barcelona (Drs Martínez-Castillo, Verdugo, and Boixadera); and Instituto de Microcirugía Ocular (Drs García-Arumí and Corcóstegui), Barcelona, Spain.
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