Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C 3 F 8 ) for retinal detachment

• Main Authors: Vivek Chaturvedi, Ryan P Basham, Kourous A Rezaei
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Bevacizumab; intravitreal; neovascular age related macular degeneration; systemic; systematic review; systematic review of reviews; Hydrophillic nanogels; ophthalmic drug delivery; nanosponges; solid lipid nanoparticles; Adult strabismus; personality; psychosocial impact; quality of life; squint; Maculopathy; optic pit; spectral domain optical coherence tomography; Corneal hysteresis; corneal resistance factor; exfoliative glaucoma; primary open angle glaucoma; A-constant; biometry; individualized; intraocular lenses; personal; Tecnis; E-learning; medical education; methodology; Chronic macular hole; macular hole duration; macular hole size; macular hole surgery; Adult strabismus-20; functional; psychosocial; strabismus; surgery; Retinal detachment; vitreous shaving; gas
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=7;spage=804;epage=808;aulast=Chaturvedi

Purpose : To review the characteristics and outcomes of patients who underwent pars plana vitrectomy (PPV) with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% C3F8 gas for rhegmatogenous retinal detachment (RRD). Materials and Methods : A retrospective review of a consecutive series of patients who underwent primary repair of RRD by PPV with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% perfluoropropane (C 3 F 8 ) was conducted. Patients with less than 3 months follow-up, previous retinal surgery, and higher than grade B proliferative vitreoretinopathy were excluded. Results : Ninety-one eyes were included in the study. The mean age was 60.1 years. The mean follow-up was 13.7 months. The macula was detached in 63% (58/91) of the eyes. The reattachment rate after one surgical procedure was 95% (86/91) while overall reattachment rate was 100%. There was no statistically significant difference between reattachment rates of superior, nasal/temporal, or inferior RRDs. The mean final best corrected visual acuity (BCVA) was 20/40. Of all the patients, 66% of patients with macula-off RRDs had a final BCVA of 20/40 or better. Conclusions: PPV with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% C 3 F 8 leads to successful anatomical reattachment with visual improvement in patients with primary RRD.