Bosphorus Med J. 2019; 6(3): 94-98 | DOI: 10.14744/bmj.2019.39974

The Outcomes of Primary 23-gauge Vitrectomy in Retinal Detachment Patients with Grade C Proliferative Vitreoretinopathy Surgery

Hatice Nur Tarakçýoðlu¹, Burcu Kemer Atik², Abdullah Özkaya^3
1Department of Ophthalmology, Bakýrköy Sadi Konuk Training and Research Hospital, Ýstanbul, Turkey
²Department of Ophthalmology, Beyoðlu Eye Training and Research Hospital, Ýstanbul, Turkey
³Department of Ophthalmology, Memorial Þiþli Hospital, Ýstanbul, Turkey

INTRODUCTION: To assess the outcomes of primary vitrectomy in retinal detachment (RD) patients with grade C proliferative vitreoretinopathy (PVR).
METHODS: In this study, retrospective, single-surgeon case series were examined. The patients who had an RD with grade C PVR and underwent 23-gauge vitrectomy, and had a minimum follow up period of 12 months were included. The primary outcome measure of this study was the anatomical success (achievement of the totally attached retina) rate after a single surgery.
RESULTS: A total number of 42 eyes of 42 patients were included in this study. The mean age was 57.6±13.9 years (range 27-88 years), and the mean follow-up was 17.1±4.8 months (range 12-22 months). The anatomical success rate after a single operation was achieved in 32 of the 42 patients (76.2%). The remaining 10 patients were operated again, and the final success rate increased to 95.2% (40 of the 42 patients).
DISCUSSION AND CONCLUSION: The findings suggest that vitrectomy is effective in the treatment of RD with grade C PVR with satisfactory anatomical success.

Keywords: Proliferative vitreoretinopathy, retinal detachment, vitrectomy

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Evre C Proliferatif Vitreoretinopatinin Eþlik Ettiði Retina Dekolmaný Hastalarýnda Primer 23-gauge Vitrektominin Sonuçlarý

Hatice Nur Tarakçýoðlu¹, Burcu Kemer Atik², Abdullah Özkaya^3
1Göz Hastalýklarý Kliniði, Bakýrköy Sadi Konuk Eðitim ve Araþtýrma Hastanesi, Ýstanbul,Türkiye
²Göz Hastalýklarý Kliniði, Beyoðlu Göz Eðitim ve Araþtýrma Hastanesi, Ýstanbul,Türkiye
³Göz Hastalýklarý Kliniði, Memorial Þiþli Hastanesi, Ýstanbul,Türkiye

GÝRÝÞ ve AMAÇ: Evre C proliferatif vitreoretinopatinin (PVR) eþlik ettiði retina dekolmaný hastalarýnda primer vitrektomi cerrahisinin sonuçlarýný deðerlendirmek.
YÖNTEM ve GEREÇLER: Geriye dönük, tek cerrah olgu serisi. Evre C PVR’si olan ve 23-gauge vitrektomi uygulanmýþ ve cerrahi sonrasý takip süresi en az 12 ay olan retina dekolmaný hastalarý çalýþmaya alýndý. Çalýþmanýn birincil sonlaným noktasý tek cerrahi sonrasý anatomik baþarý (retinanýn tamamen yatýþýk olmasý) oraný idi.
BULGULAR: Toplamda 42 hastanýn 42 gözü çalýþmaya alýndý. Ortalama yaþ 57.6±13.9 (27-88 arasý) yýl ve ortalama takip süresi 17.1±4.8 (12-22 arasý) ay idi. Kýrk iki hastanýn 32’sinde (%76.2) tek cerrahi sonrasý anatomik baþarýya ulaþýldý. Kalan 10 hasta yeniden opere edildi ve final anatomik baþarý oraný %95.2’ye (42 hastanýn 40’ý) yükseldi.
TARTIÞMA ve SONUÇ: Evre C PVR’li retina dekolmaný hastalarýnda vitrektomi etkili bir tedavi yöntemidir.

Anahtar Kelimeler: Proliferatif vitreoretinopati, retina dekolmaný, vitrektomi

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