Abstract
Objective:To investigate the outcome of rhegmatogenous retinal detachment repair at Vitreoretinal unit of Jinnah Post Graduate Medical Centre Karachi in year 2014.Methods:One hundred and three eyes of one hundred and three patients, who underwent three ports parsplana vitrectomy + band + silicone oil, three ports pars plana vitrectomy + silicone oil, three ports pars plana vitrectomy + C3F8 for rhegmatogenous retinal detachment (RRD) repair, at Jinnah Post Graduate Medical Centre, were included in this observational prospective study. Parsplana vitrectomy was done using 23G vitrectomy system. Duration of study was one year. Removal of silicone oil (ROSO) was done on the basis of completely flat retina at least for eight weeks or because of complications due to silicone oil. Patients were followed up post operatively on day one and after one week and then at four weekly interval till the end of the study.Results:Anatomical success was achieved in 91 eyes (88.3%). However in 12 eyes (11.7%) retina redetached after removal of silicone oil. Functional success achievement of visual acuity of 3/60 or better was achieved in 85 (82.5%) of eyes post operatively after removal of silicone oil or absorption of gas C3F8 as the case may be.Conclusion:Re-detachment is common after removal of silicone oil and incidence of re-detachment is related to the degree of preoperative PVR and location of breaks. Re-detachment occurs more commonly if the breaks are inferiorly located as compared to the superior ones.
Highlights
Retinal detachment is a major threat to sight in working age population
There are various types of retinal detachments amongst them the most commonly seen type is rhegmatogenous retinal detachment (RRD). It is characterized by the presence of a retinal break which is a defect involving whole thickness of neurosensory retina.[2]
Successful retinal detachment repair was initially described by Gonin in 1920 and advancements in technology have resulted in better results of surgery.[3,4]
Summary
Retinal detachment (RD) is the separation of neurosensory retina (NSR) from the underlying retinal pigment epithelium (RPE).[1] There are various types of retinal detachments amongst them the most commonly seen type is rhegmatogenous retinal detachment (RRD). It is characterized by the presence of a retinal break which is a defect involving whole thickness of neurosensory retina.[2] Successful retinal detachment repair was initially described by Gonin in 1920 and advancements in technology have resulted in better results of surgery.[3,4] This is a very debatable topic in retina community about which technique should be adopted to repair different types of retinal detachments.
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