Surgical outcomes of «inferior» recurrent retinal detachment complicated by advanced stages of anterior proliferative vitreoretinopathy using intraoperative and short-term postoperative perfluorocarbon liquid endotamponade
Year: 2024
Type: article
Abstract: Purpose. To evaluate results of surgical treatment of «inferior» recurrent rhegmatogenous retinal detachment (RRD), complicated by advanced stage of proliferative vitreoretinopathy (PVR) in «light» silicone oil-filled eyes (SO), depending on the option of using perfluorocarbon liquid (PFCL): vitreoretinal surgery in combination with retinotomy (RT) and intraoperative PFCL endotamponade (vitreoretinal surgery+RT+intraoperative PFCL) and vitreoretinal surgery in combination with RT and short-term postoperative PFCL endotamponade (vitreoretinal surgery+RT+postoperative PFCL). Material and methods. Results of surgical treatment of 66 patients with «inferior» recurrent RRD in silicone oil-filled eyes by advanced stage of PVR were analyzed. All patients were divided into 2 groups depending on the tactics of using PFCL: vitreoretinal surgery+RT+intraoperative PFCL+SO (36 eyes) and vitreoretinal surgery+RT+postoperative PFCL+SO (30 eyes). Results. After surgical treatment, anatomical success was similar in both groups with no statistically significant difference (p=0.5). When comparing bestcorrected visual acuity (BCVA) between the two groups 3 months after surgery, visual acuity was significantly higher in group 2 compared to group 1 — 0.05 versus 0.03 (p=0.016). During the observation period of 6 months after the analyzed operations and after removal of the SO, visual acuity was also significantly higher in group 2 compared to group 1 (p=0.01). Conclusion. In case of «inferior» recurret RRD complicated by advanced stage of PVR in silicone oil-filled eyes, both vitreoretinal surgery in combination with RT and intraoperative PFCL endotamponade and vitreoretinal surgery in combination with RT and short-term postoperative PFCL endotamponade allow achieving the same anatomical results. Vitreoretinal surgery combined with RT and short-term postoperative PFCL endotamponade may be the best choice to achieve a better functional outcome. Key words: recurrence of rhegmatogenous retinal detachment, retinotomy, vitreoretinal surgery, silicone oil, perfluorocarbon liquid, advanced stage of proliferative vitreoretinopathy.
Authors: A.N. Kulikov, T.N. Shevalova, S.V. Churashov
Language: English
Topic: Retinal and Macular Surgery
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4407795387