Produção Nacional
Revisado por pares
Anatomic and Visual Outcomes of 23-G Vitrectomy without Scleral Buckling for Primary Rhegmatogenous Retinal Detachment
2013; SAGE Publishing; Volume: 23; Issue: 3 Linguagem: Inglês
10.5301/ejo.5000234
ISSN1724-6016
AutoresMarta S. Figueroa, Inés Contreras, Susana Noval, Lihteh Wu, J. Fernando Arévalo, Miguel Ángel Serrano, Andrés F. Lasave, Michel Eid Farah, Maurício Maia, Fernando M. Penha, Eduardo B. Rodrigues, Virgilio Morales-Cantón, Jorge Jans Fromow-Guerra, José Luis Guerrero-Naranjo, José Dalma-Weiszhausz, Hugo Quiroz-Mercado, Raúl Vélez-Montoya, Francisco J. Rodríguez, F. Enrique Gómez, Anne Charlotte Brieke, María H. Berrocal, Vanessa Cruz-Villegas, Federico Graue‐Wiechers, David Lozano-Rechy, Enrique Ariza-Camacho, José A. Roca, R. Chico, Mario Saravia, Ariel Schlaen, A. P. C. Lupinacci, Maria Noel Gabin, Marcos Pereira de Ávila, L. Carla, J.A. Cardillo, Joel Vidal, Thomas Carpentier, Juan Ignacio Verdaguer, D. G. Sepúlveda, Arturo Alezzandrini, B. Garcia, Guido Agustin Bregliano, Gustavo Alvira, Pedro Flor, Fernando Stalin Jimenez Jaramillo, M. Díaz-Llopis, Roberto Gallego-Pinazo, Patricia Udaondo, David Salom, M. Figueroa, Inés Contreras, Diego Ruiz-Casas,
Tópico(s)Retinal Diseases and Treatments
ResumoPurpose To evaluate the anatomic success rate, visual acuity (VA) changes, and complications of 23-G vitrectomy without associated scleral procedures for the treatment of primary rhegmatogenous retinal detachment (PRRD). Methods Patients diagnosed with PRRD were considered for inclusion. Patients with evidence of proliferative vitreoretinopathy or coexisting ocular pathologies were excluded. Surgery consisted of 23-G vitrectomy with endolaser photocoagulation of retinal breaks and fluid-air-gas (12% C 3 F 8 ) exchange. Minimum follow-up was 3 months. Results A total of 133 eyes of 118 patients were included. Fifty eyes were phakic and 83 pseudophakic. Mean time from diagnosis to surgery was 6.9 days (range 1–40). Mean VA improved significantly from 20/50 (range: hand movements to 20/20) to 20/30 (range: counting fingers to 20/16), with no statistically significant differences between phakic and pseudophakic eyes (p = 0.233). Visual acuity improved to 20/40 or better in 104 eyes (78.2%). A redetachment developed in 5 eyes (3.8%), so the primary anatomic success rate was 96.2%. Four eyes required a second surgical procedure and one eye a third to achieve retinal reattachment. Cataract progression in phakic eyes made cataract surgery necessary within 1 year of vitrectomy in 12/50 (24%) eyes. Subretinal perfluoro-N-octane (PFO) was detected in 6 eyes (4.5%). Conclusion Twenty-three–gauge vitrectomy without scleral buckling seems to be an effective technique for the treatment of PRRD without proliferative vitreoretinopathy. The high anatomic success rate was comparable to that previously described with 20 G and scleral buckling. Complications were similar to those described for 20-G vitrectomy, except for retained subretinal PFO, which has a higher rate.
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