25-Gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachment

Objective This study was performed to evaluate the outcomes of 25-gauge (25-G) pars plana vitrectomy (PPV) with air tamponade for primary rhegmatogenous retinal detachment (RRD). Methods This retrospective consecutive case series included 126 eyes of 125 patients with primary RRD who underwent 25-G...

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Main Authors: Peiyang Shen, Xiangbin Kong, Guo Chen, Jianhua Jiang, Shigang Yan, Xiaohe Lu, Mingguang He
Format: Article
Language:English
Published: SAGE Publishing 2022-12-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221139702
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author Peiyang Shen
Xiangbin Kong
Guo Chen
Jianhua Jiang
Shigang Yan
Xiaohe Lu
Mingguang He
author_facet Peiyang Shen
Xiangbin Kong
Guo Chen
Jianhua Jiang
Shigang Yan
Xiaohe Lu
Mingguang He
author_sort Peiyang Shen
collection DOAJ
description Objective This study was performed to evaluate the outcomes of 25-gauge (25-G) pars plana vitrectomy (PPV) with air tamponade for primary rhegmatogenous retinal detachment (RRD). Methods This retrospective consecutive case series included 126 eyes of 125 patients with primary RRD who underwent 25-G PPV with air tamponade. The patients were followed up for at least 6 months following surgery. The main outcome measures were the primary and final anatomical success rates and postoperative complications. Results The mean age of the 125 patients (80 men and 45 women) was 53.7 ± 10.0 years. The mean follow-up period was 8.3 ± 2.2 months (range, 6–18 months). Twenty-four eyes (19.0%) presented with high myopia, and 13 eyes (10.3%) were pseudophakic. Of the 126 eyes, 37 (29.4%) had inferior breaks, 2 (1.6%) had choroidal detachment, and 86 (68.3%) had macular detachment. The single- and final-operation success rates were 96.0% and 100%, respectively. Postoperative complications included macular hole formation in two eyes. During follow-up, secondary cataract surgery was performed in 27 (23.9%) of the 113 phakic eyes. Conclusion 25-G PPV with air tamponade is effective and safe in treating selected patients with primary RRD with a high anatomical success rate.
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spelling doaj.art-09011187133b44cc8ed8e441beb08b2a2022-12-22T02:57:34ZengSAGE PublishingJournal of International Medical Research1473-23002022-12-015010.1177/0300060522113970225-Gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachmentPeiyang ShenXiangbin KongGuo ChenJianhua JiangShigang YanXiaohe LuMingguang HeObjective This study was performed to evaluate the outcomes of 25-gauge (25-G) pars plana vitrectomy (PPV) with air tamponade for primary rhegmatogenous retinal detachment (RRD). Methods This retrospective consecutive case series included 126 eyes of 125 patients with primary RRD who underwent 25-G PPV with air tamponade. The patients were followed up for at least 6 months following surgery. The main outcome measures were the primary and final anatomical success rates and postoperative complications. Results The mean age of the 125 patients (80 men and 45 women) was 53.7 ± 10.0 years. The mean follow-up period was 8.3 ± 2.2 months (range, 6–18 months). Twenty-four eyes (19.0%) presented with high myopia, and 13 eyes (10.3%) were pseudophakic. Of the 126 eyes, 37 (29.4%) had inferior breaks, 2 (1.6%) had choroidal detachment, and 86 (68.3%) had macular detachment. The single- and final-operation success rates were 96.0% and 100%, respectively. Postoperative complications included macular hole formation in two eyes. During follow-up, secondary cataract surgery was performed in 27 (23.9%) of the 113 phakic eyes. Conclusion 25-G PPV with air tamponade is effective and safe in treating selected patients with primary RRD with a high anatomical success rate.https://doi.org/10.1177/03000605221139702
spellingShingle Peiyang Shen
Xiangbin Kong
Guo Chen
Jianhua Jiang
Shigang Yan
Xiaohe Lu
Mingguang He
25-Gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachment
Journal of International Medical Research
title 25-Gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachment
title_full 25-Gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachment
title_fullStr 25-Gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachment
title_full_unstemmed 25-Gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachment
title_short 25-Gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachment
title_sort 25 gauge pars plana vitrectomy combined with air tamponade for primary rhegmatogenous retinal detachment
url https://doi.org/10.1177/03000605221139702
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