Low redetachment rate due to encircling scleral buckle in giant retinal tears treated with vitrectomy and silicone oil

F. Goezinne*, L.A.H. EC, T.T. Berendschot, S.T. Gast, A.T. Liem, I.L. Lundqvist, F. Hendrikse

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    32 Citations (Web of Science)


    BACKGROUND: The goal of this study was to identify risk factors for redetachment and to assess long-term anatomic and functional results of pars plana vitrectomy (PPV) for retinal detachment associated with giant retinal tears (GRT). SUBJECTS AND METHODS: In a retrospective study the authors analyzed 30 eyes which were operated with PPV for GRT retinal detachment in their clinic between March 1998 and August 2003. RESULTS: Redetachment rate after one vitrectomy procedure in this series of 30 eyes was 30% (n = 9), and ultimately, the retina was attached in 29 (96.7%) eyes. After multivariate analysis the absence of an encircling scleral buckle (P = 0.008) was significantly associated with redetachment. Visual acuity improved in 54% of the eyes. CONCLUSION: Vitrectomy with an encircling scleral buckle seems to be a preferred treatment for complicated retinal detachments due to GRT.
    Original languageEnglish
    Pages (from-to)485-92
    JournalRetina-The Journal of Retinal and Vitreous Diseases
    Issue number3
    Publication statusPublished - 1 Jan 2008

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