Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (6): 89-91.doi: 10.6040/j.issn.1673-3770.0.2020.220

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Surgical clinical treatment outcomes of 25 gauge vitrectomy for superior rhegmatogenous retinal detachment with air tamponade

LU Wenrui, YAN Duan, XU Nuo   

  1. Department of Ophthalmology, Fujian Provincial Hospital, Fuzhou 350000, Fujian, China.
  • Published:2021-12-10

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Abstract: Objective To observe the clinical treatment outcomes and safety of 25-gauge vitrectomy with air tamponade for superior rhegmatogenous retinal detachment. Methods Retrospective analysis 32 eyes with superior rhegmatogenous retinal detachment from 32 patients who received 25-gauge vitrectomy with air tamponade from December 2018 to March 2020. Best corrected visual acuity(BCVA)(LogMAR)and intraocular pressor(IOP)were test before surgery, 1 week, and the last follow-up time after surgery. Retinal reattachment condition and intraoperative and postoperative complications were recorded. Results The mean BCVA was significantly different among before surgery,1 week and the last follow-up time after surgery,and the BCVA at 1 week and the last follow-up time after surgery was evidently improved in comparison with before surgery(1.4(0.2-1.7), 0.83±0.35, 0.52±0.34, Mann Whitney U text, P<0.05).The mean IOP was(15.15±3.04 mmHg)before surgery and(17.75±2.75 mmHg)1 week after surgery, showing a significant difference among them(t text, P<0.05), the IOP 1 week after surgery was evidently higher than that before surgery.The mean IOP was(15.20±1.81 mmHg)at the last follow-up time, have not difference between the mean IOP before the surgery(t text, P>0.05). The retinal reattachment rate following a single procedure was 100%. Conclusion 25-Gauge vitrectomy and air tamponade for superior rhegmatogenous retinal detachment is an effective and safe approach, and fewer complications and higher success rates.

Key words: Vitrectomy, Air tamponade, Superior rhegmatogenous retinal detachment

CLC Number: 

  • R774
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