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Vitrectomy without gas effective for primary retinal detachment repair
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Primary pars plana vitrectomy without long-acting gas or silicone oil was effective in the repair of primary retinal detachments in a Japanese study. The study authors said their results with fluid-air exchange alone were at least as good as reports in the literature with long-acting gas tamponade.
Kazuki Hotta and colleagues at Kameda Medical Center in Chiba, Japan, reported on 27 eyes of 27 patients with peripheral retinal tears and new rhegmatogenous retinal detachments. Patients underwent pars plana vitrectomy with fluid-air exchange and endolaser treatment to repair the detachments. Neither long-acting gas nor silicone oil tamponade was used. Patients were followed from 6 to 26 months.
Reattachment was achieved in 24 of the 27 eyes (89%) with a single operation and in 100% of the eyes with subsequent operations.
The study is published in Ophthalmologica.