Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C3 F8) for retinal detachment.
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Date
2014-07
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Abstract
Purpose: To review the characteristics and outcomes of patients who underwent pars plana
vitrectomy (PPV) with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% C3F8
gas for rhegmatogenous retinal detachment (RRD). Materials and Methods: A retrospective review of
a consecutive series of patients who underwent primary repair of RRD by PPV with scleral depressed
vitreous shaving, 360 degree peripheral endolaser, and 14% perfluoropropane (C3F8) was conducted.
Patients with less than 3 months follow‑up, previous retinal surgery, and higher than grade B proliferative
vitreoretinopathy were excluded. Results: Ninety‑one eyes were included in the study. The mean age was
60.1 years. The mean follow‑up was 13.7 months. The macula was detached in 63% (58/91) of the eyes. The
reattachment rate after one surgical procedure was 95% (86/91) while overall reattachment rate was 100%.
There was no statistically significant difference between reattachment rates of superior, nasal/temporal, or
inferior RRDs. The mean final best corrected visual acuity (BCVA) was 20/40. Of all the patients, 66% of
patients with macula‑off RRDs had a final BCVA of 20/40 or better. Conclusions: PPV with scleral depressed
vitreous shaving, 360 degree peripheral endolaser, and 14% C3F8 leads to successful anatomical reattachment
with visual improvement in patients with primary RRD.
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Keywords
Retinal detachment, vitreous shaving, gas
Citation
Chaturvedi Vivek, Basham Ryan P, Rezaei Kourous A. Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C3 F8) for retinal detachment. Indian Journal of Ophthalmology. 2014 July ; 62 (7): 804-808.