International ophthalmology · 2025
Pars plana vitrectomy combined with expanded area retinal photocoagulation for treatment of rhegmatogenous retinal detachment with inferior breaks.
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Wang Mengjiao, Feng Qing, Sun Xincheng
Аннотация
PURPOSE: To evaluate the clinical efficacy of pars plana vitrectomy (PPV) combined with expanded-area retinal photocoagulation for the treatment of primary retinal detachment with inferior breaks.
METHODS: Eighteen patients (18 eyes) with primary retinal detachment due to inferior breaks, treated at our institute between January 2020 and October 2023, were retrospectively analyzed. All patients underwent 23-gauge PPV combined with expanded-area retinal photocoagulation. The patients' best corrected visual acuity (BCVA) and intraocular pressure (IOP) were measured preoperatively and 6 months post-operatively, along with assessments for retinal redetachment, epiretinal membrane formation, and complications.
RESULTS: The BCVA (LogMAR) significantly improved from 0.78 ± 0.69 preoperatively to 0.31 ± 0.20 after 6 months (t = 3.374, P < 0.01). None of the treated eyes developed retinal detachment during the follow-up period. No intraoperative complications such as lens injury, hemorrhage, or retinal perforation were reported. During the postoperative follow-up period, no cases of macular puckering, cystoid macular edema, secondary glaucoma, or endophthalmitis were observed.
CONCLUSION: PPV combined with expanded-area retinal photocoagulation is an effective treatment for primary retinal detachment with inferior breaks, offering good postoperative visual recovery, low risk of retinal redetachment, and few complications.
METHODS: Eighteen patients (18 eyes) with primary retinal detachment due to inferior breaks, treated at our institute between January 2020 and October 2023, were retrospectively analyzed. All patients underwent 23-gauge PPV combined with expanded-area retinal photocoagulation. The patients' best corrected visual acuity (BCVA) and intraocular pressure (IOP) were measured preoperatively and 6 months post-operatively, along with assessments for retinal redetachment, epiretinal membrane formation, and complications.
RESULTS: The BCVA (LogMAR) significantly improved from 0.78 ± 0.69 preoperatively to 0.31 ± 0.20 after 6 months (t = 3.374, P < 0.01). None of the treated eyes developed retinal detachment during the follow-up period. No intraoperative complications such as lens injury, hemorrhage, or retinal perforation were reported. During the postoperative follow-up period, no cases of macular puckering, cystoid macular edema, secondary glaucoma, or endophthalmitis were observed.
CONCLUSION: PPV combined with expanded-area retinal photocoagulation is an effective treatment for primary retinal detachment with inferior breaks, offering good postoperative visual recovery, low risk of retinal redetachment, and few complications.