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Local dry vitrectomy combined with segmental scleral buckling and viscoelastic tamponade for rhegmatogenous retinal detachment with vitreous traction
Authors:Ping Fei  Hai-Ying Jin  Qi Zhang  Jie Peng  Jia-Kai Li  Jiao Lyu  Tian Tian  Zu-Peng Lu  Jing Li and Pei-Quan Zhao
Institution:Department of Ophthalmology, Xinhua Hospital, Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
Abstract:AIM: To demonstrate combined local dry vitrectomy and segmental scleral buckling for the treatment of partial rhegmatogenous retinal detachment (RRD) with local vitreous traction in patients at high-risk for proliferative vitreoretinopathy (PVR). METHODS: Seven eyes of 7 patients were retrospectively studied, including 3 retinal dialysis and 4 retinal detachment (RD) (3 eyes with peripheral retinal hole and 1 eye with giant tear). All patients exhibited partial RD and local vitreous traction. Combined local dry vitrectomy without conventional infusion and segmental scleral buckling was performed. Viscoelastic fluid was injected into the vitreous cavity if needed. Demographic information, preoperative and post-operative complications, and outcomes were recorded. RESULTS: The mean age of the patients at presentation was 22.43±14.28y. All seven patients obtained retinal reattachment after a single surgical intervention. Post-operative visual acuities were improved in all patients. None of them developed complications, except for temporary mildly increased intraocular pressure in 2 cases. CONCLUSION: Combined local dry vitrectomy and segmental scleral buckling and viscoelastic tamponade if needed are effective for patients of RRD with local vitreous traction. The technique avoids many complications associated with regular surgery and was minimally invasive to both the external and internal eye.
Keywords:dry vitrectomy  retinal detachment  scleral buckling
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