Affordable Access

deepdyve-link
Publisher Website

Multicenter survey of sutureless 27-gauge vitrectomy for primary rhegmatogenous retinal detachment: a consecutive series of 410 cases.

Authors
  • Shinkai, Yoichiro1
  • Oshima, Yusuke2
  • Yoneda, Kazuhito3
  • Kogo, Jiro4
  • Imai, Hisanori5
  • Watanabe, Akira6
  • Matsui, Yoshitsugu7
  • Suzuki, Kotaro8
  • Sotozono, Chie1
  • 1 Department of Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Hirokoji-agaru, Kawaramachi-dori, Kamigyo-ku, Kyoto, 602-0841, Japan. , (Japan)
  • 2 Oshima Eye Clinic, Takatsuki, Japan. , (Japan)
  • 3 Department of Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Hirokoji-agaru, Kawaramachi-dori, Kamigyo-ku, Kyoto, 602-0841, Japan. [email protected] , (Japan)
  • 4 Department of Ophthalmology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan. , (Japan)
  • 5 Department of Ophthalmology, Kobe University Graduate School of Medicine, Kobe, Japan. , (Japan)
  • 6 Department of Ophthalmology, Jikei University School of Medicine, Tokyo, Japan. , (Japan)
  • 7 Department of Ophthalmology, Mie University Graduate School of Medicine, Tsu, Mie, Japan. , (Japan)
  • 8 Department of Ophthalmology, Keiyu Hospital, Yokohama, Kanagawa, Japan. , (Japan)
Type
Published Article
Journal
Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
Publication Date
Dec 01, 2019
Volume
257
Issue
12
Pages
2591–2600
Identifiers
DOI: 10.1007/s00417-019-04448-2
PMID: 31478083
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To evaluate the surgical outcomes of the 27-gauge (G) vitrectomy system for the treatment of primary rhegmatogenous retinal detachment (RRD). This retrospective consecutive series multicenter study involved a total of 410 eyes of 406 patients who underwent 3-port transconjunctival 27G pars plana vitrectomy (PPV) for RRD between November 2014 and December 2016 and who were followed for a minimum of 3 months postoperative. The main outcome measure was primary reattachment, with the secondary outcome measures being final reattachment, improvement of visual acuity (VA), intraocular pressure (IOP), intraoperative and postoperative complications, and surgery time. Of the 410 treated eyes, primary reattachment was achieved in 392 (95.6%) and final reattachment was achieved in 410 (100%). In 226 eyes (55.1%) with macula-on RRD, the mean logarithm of the minimum angle of resolution (logMAR) VA improved from 0.16 ± 0.51 pre-surgery to 0.02 ± 0.14 post-surgery (P = 0.11). In 184 eyes (44.9%) with macula-off RRD, logMAR VA improved from 1.06 ± 0.77 pre-surgery to 0.26 ± 0.35 post-surgery (P < 0.001). Following surgery, the mean IOP was highest at 1 day (15.7 ± 7.0 mmHg) postoperative. In all eyes, surgery was concluded without the use of sutures or the need of conversion to a larger-gauge instrument. Although hypotony was observed in 14 (3.4%) of the 410 treated eyes at 1 day postoperative, it spontaneously resolved within 1 week without additional surgical intervention. No postoperative complications such as infectious endophthalmitis were observed throughout the follow-up period. Our findings show that 27G PPV is both safe and effective for the treatment of primary RRD.

Report this publication

Statistics

Seen <100 times