Pars Plana Vitrectomy Alone for Primary Rhegmatogenous Retinal Detachments Associated With Inferior Breaks in Phakic Eyes.

ABSTRACT

BACKGROUND AND OBJECTIVE: This study examines whether pars plana vitrectomy (PPV) can achieve a high rate of reattachment in primary rhegmatogenous retinal detachments (RRDs) caused by inferior breaks in phakic eyes. PATIENTS AND METHODS: Patients with primary, phakic RRD with inferior retinal breaks repaired by PPV, endolaser, and gas tamponade between January 2012 and December 2016 were included. RESULTS: Twenty-six eyes from 26 patients were included. Mean patient age was 61.7 years (range 38 years to 82 years). Thirteen RRDs were macula-involving, with an average of 2.00 ± 0.70 quadrants and 2.50 ± 2.00 breaks. Twenty-three of 26 eyes (88.5%) were attached at postoperative month (POM) 3. Mean logMAR visual acuity was 0.72 ± 0.84 at baseline, 0.65 ± 0.44 at POM 3, 0.44 ± 0.50 at POM 12, and 0.43 ± 0.36 at the final visit. CONCLUSION: Single-surgery success rate of phakic RRD caused by inferior breaks repaired by PPV is high. [Ophthalmic Surg Lasers Imaging Retina. 2019;50153-158.].