Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results
We evaluated a new surgical technique for treating primary rhegmatogenous retinal detachment (RRD), consisting of localized vitrectomy near the retinal break associated with drainage of subretinal fluid without infusion. Twelve eyes of twelve patients with primary RRDs with macula-on superior, tempo...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/7/1301 |
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| author | Tomaso Caporossi Alessandra Scampoli Filippo Tatti Lorenzo Mangoni Matteo Mario Carlà Emanuele Siotto Pintor Francesca Frongia Claudio Iovino Patrizio Bernardinelli Enrico Peiretti |
| author_facet | Tomaso Caporossi Alessandra Scampoli Filippo Tatti Lorenzo Mangoni Matteo Mario Carlà Emanuele Siotto Pintor Francesca Frongia Claudio Iovino Patrizio Bernardinelli Enrico Peiretti |
| author_sort | Tomaso Caporossi |
| collection | DOAJ |
| description | We evaluated a new surgical technique for treating primary rhegmatogenous retinal detachment (RRD), consisting of localized vitrectomy near the retinal break associated with drainage of subretinal fluid without infusion. Twelve eyes of twelve patients with primary RRDs with macula-on superior, temporal, and/or nasal quadrants’ RRD with retinal breaks between 8 and 4 o’clock, pseudophakic or phakic eyes, were enrolled. All eyes underwent a two-port 25-gauge vitrectomy with localized removal of the vitreous surrounding the retinal break(s), followed by a 20% SF6 injection and cryopexy. The difference between pre-operative (T0) and post-operative mean BCVA at 6 months follow-up (T6) was not statistically significant (0.16 logMAR vs. 0.21 logMAR; <i>p</i> = 0.055). Primary anatomic success at 6 months was achieved by 86% of patients. No other complications, except for two retinal re-detachments linked to an incorrect head position of the patients, were recorded. Although further studies are necessary to evaluate the treatment’s efficacy, we believe our technique could be considered a valid alternative for managing primary RRD. |
| first_indexed | 2024-03-11T05:40:00Z |
| format | Article |
| id | doaj.art-92857aa1b2084ecf8e69295274ad4c1a |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T05:40:00Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-92857aa1b2084ecf8e69295274ad4c1a2023-11-17T16:30:40ZengMDPI AGDiagnostics2075-44182023-03-01137130110.3390/diagnostics13071301Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on ResultsTomaso Caporossi0Alessandra Scampoli1Filippo Tatti2Lorenzo Mangoni3Matteo Mario Carlà4Emanuele Siotto Pintor5Francesca Frongia6Claudio Iovino7Patrizio Bernardinelli8Enrico Peiretti9Vitreoretinal Surgery Unit, Fatebenefratelli Isola Tiberina-Gemelli Isola Hospital, 00186 Rome, ItalyVitreoretinal Surgery Unit, Fatebenefratelli Isola Tiberina-Gemelli Isola Hospital, 00186 Rome, ItalyEye Clinic, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, ItalyEye Clinic, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, ItalyDepartment of Neuroscience, Sensory Organs and Chest, Catholic University of the Sacred Heart, 00168 Rome, ItalyEye Clinic, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, ItalyEye Clinic, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, ItalyMultidisciplinary Department of Medical, Surgical and Dental Sciences, Eye Clinic, University of Campania Luigi Vanvitelli, 80138 Naples, ItalyDepartment of Neuroscience, Sensory Organs and Chest, Catholic University of the Sacred Heart, 00168 Rome, ItalyEye Clinic, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, ItalyWe evaluated a new surgical technique for treating primary rhegmatogenous retinal detachment (RRD), consisting of localized vitrectomy near the retinal break associated with drainage of subretinal fluid without infusion. Twelve eyes of twelve patients with primary RRDs with macula-on superior, temporal, and/or nasal quadrants’ RRD with retinal breaks between 8 and 4 o’clock, pseudophakic or phakic eyes, were enrolled. All eyes underwent a two-port 25-gauge vitrectomy with localized removal of the vitreous surrounding the retinal break(s), followed by a 20% SF6 injection and cryopexy. The difference between pre-operative (T0) and post-operative mean BCVA at 6 months follow-up (T6) was not statistically significant (0.16 logMAR vs. 0.21 logMAR; <i>p</i> = 0.055). Primary anatomic success at 6 months was achieved by 86% of patients. No other complications, except for two retinal re-detachments linked to an incorrect head position of the patients, were recorded. Although further studies are necessary to evaluate the treatment’s efficacy, we believe our technique could be considered a valid alternative for managing primary RRD.https://www.mdpi.com/2075-4418/13/7/1301rhegmatogenous retinal detachmentvitrectomyvitreoretinal surgerydry vitrectomytwo-port pars plana vitrectomy |
| spellingShingle | Tomaso Caporossi Alessandra Scampoli Filippo Tatti Lorenzo Mangoni Matteo Mario Carlà Emanuele Siotto Pintor Francesca Frongia Claudio Iovino Patrizio Bernardinelli Enrico Peiretti Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results Diagnostics rhegmatogenous retinal detachment vitrectomy vitreoretinal surgery dry vitrectomy two-port pars plana vitrectomy |
| title | Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results |
| title_full | Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results |
| title_fullStr | Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results |
| title_full_unstemmed | Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results |
| title_short | Two-Port “Dry Vitrectomy” as a New Surgical Technique for Rhegmatogenous Retinal Detachment: Focus on Macula-on Results |
| title_sort | two port dry vitrectomy as a new surgical technique for rhegmatogenous retinal detachment focus on macula on results |
| topic | rhegmatogenous retinal detachment vitrectomy vitreoretinal surgery dry vitrectomy two-port pars plana vitrectomy |
| url | https://www.mdpi.com/2075-4418/13/7/1301 |
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