alexa Primary 25-Gauge Airbag Vitrectomy in Pseudophakic Rhegmatogenous Retinal Detachment | OMICS International | Abstract
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
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Research Article

Primary 25-Gauge Airbag Vitrectomy in Pseudophakic Rhegmatogenous Retinal Detachment

Michele Reibaldi1*, Antonio Longo1, Teresio Avitabile1, Vincenza Bonfiglio1, Andrea Russo1, Andrea Saitta2, Michele Nicolai2, Alfonso Giovannini2, Francesca Viti2 and Cesare Mariotti2
1Department of Ophthalmology, University of Catania, Catania, Italy
2Department of Ophthalmology, University of Ancona, Ancona, Italy
Corresponding Author : Michele Reibaldi
MD, PhD; Department of Ophthalmology
University of Catania, Via S. Sofia 78
95124, Catania, Italy
Tel: 0039-095-3781095
Fax: 0039-095-3781288
E-mail: [email protected]
Received September 15, 2014, Accepted November 14, 2014, Published November 17, 2014
Citation: Reibaldi M, Longo A, Avitabile T, Bonfiglio V, Russo A et al. (2014) Primary 25-Gauge Airbag Vitrectomy in Pseudophakic
Rhegmatogenous Retinal Detachment. J Clin Exp Ophthalmol 5:367. doi: 10.4172/2155-9570.1000367
Copyright: © 2014 Reibaldi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Purpose: To evaluate the anatomic and functional outcomes and the rate of complications of a novel pars plana vitrectomy approach (airbag vitrectomy), with 25-gauge vitrectomy performed under air infusion, in the treatment of primary pseudophakic rhegmatogenous retinal detachment (PsRD).
Methods: Prospective, noncomparative, interventional case series. One hundred forty-one eyes of 141 consecutive patients with primary PsRD uncomplicated by severe proliferative vitreoretinopathy (grade A or B). All patients underwent primary 25-gauge vitrectomy under continuous infusion of air, laser retinopexy of retinal breaks, and air or gas tamponade. Eyes with minimum follow-up of 6 months were evaluated. The Main Outcome Measures were primary anatomical success rate, defined as retinal reattachment at final follow-up after a single operation without additional surgery, visual outcome and rate of complications.
Results: At 6 months the retina was reattached successfully after a single surgery in 98% of eyes (138/141). In 3 eyes (2%) retinal detachment recurred during the follow-up period, caused by proliferative vitreoretinopathy in 2 eyes and by new retinal breaks in 1 eye. After surgery, best corrected visual acuity improved significantly (P<0.001, ANOVA). Mean final visual acuity (SD) was 0.28 (0.34) logarithm of the minimum angle of resolution (logMAR) compared with 0.94 (0.84) logMAR before surgery (P<0.01, Tukey–Kramer test). The most common postoperative complication was transitory hypertony (IOP >21 mmHg), detected in 10 eyes (7%) on postoperative day 1.
Conclusions: Primary 25-gauge airbag vitrectomy provides a high anatomic and functional success in eyes with PsRD and is associated with a low rate of complications.

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