Skip to main content
NCBI home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 2001 Apr;85(4):480–482. doi: 10.1136/bjo.85.4.480

Management of inferior retinal breaks during pars plana vitrectomy for retinal detachment

V Tanner, M Minihan, T Williamson
PMCID: PMC1723911  PMID: 11264142

Abstract

AIMS—To determine whether it is necessary to support inferior retinal breaks with a scleral explant during pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RD).
METHODS—A prospective study was carried out on nine eyes of nine consecutive patients undergoing PPV for primary RD with associated inferior retinal breaks and no significant proliferative vitreoretinopathy.
RESULTS—Eight eyes were successfully reattached with a single operation. No cases presented with redetachment because of failed closure of the original inferior breaks.
CONCLUSIONS—It is not necessary to support inferior retinal breaks with a scleral explant during PPV for primary RD repair in selected cases.



Full Text

The Full Text of this article is available as a PDF (101.0 KB).

Figure 1  .

Figure 1  

Open in a new tab

Preoperative diagrams of the retinal detachments and position of associated breaks.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ah-Fat F. G., Sharma M. C., Majid M. A., McGalliard J. N., Wong D. Trends in vitreoretinal surgery at a tertiary referral centre: 1987 to 1996. Br J Ophthalmol. 1999 Apr;83(4):396–398. doi: 10.1136/bjo.83.4.396. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Arruga A. Motility disturbances induced by operations for retinal detachment. Mod Probl Ophthalmol. 1977;18:408–414. [PubMed] [Google Scholar]
  3. Bartz-Schmidt K. U., Kirchhof B., Heimann K. Primary vitrectomy for pseudophakic retinal detachment. Br J Ophthalmol. 1996 Apr;80(4):346–349. doi: 10.1136/bjo.80.4.346. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bottoni F., Sborgia M., Arpa P., De Casa N., Bertazzi E., Monticelli M., De Molfetta V. Perfluorocarbon liquids as postoperative short-term vitreous substitutes in complicated retinal detachment. Graefes Arch Clin Exp Ophthalmol. 1993 Nov;231(11):619–628. doi: 10.1007/BF00921955. [DOI] [PubMed] [Google Scholar]
  5. Campo R. V., Sipperley J. O., Sneed S. R., Park D. W., Dugel P. U., Jacobsen J., Flindall R. J. Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments. Ophthalmology. 1999 Sep;106(9):1811–1816. doi: 10.1016/S0161-6420(99)90353-6. [DOI] [PubMed] [Google Scholar]
  6. De Molfetta V., Bottoni F., Arpa P., Vinciguerra P., Zenoni S. The effect of simultaneous internal tamponade on fluid compartmentalization and its relationship to cell proliferation. Retina. 1992;12(3 Suppl):S40–S45. doi: 10.1097/00006982-199212031-00009. [DOI] [PubMed] [Google Scholar]
  7. Escoffery R. F., Olk R. J., Grand M. G., Boniuk I. Vitrectomy without scleral buckling for primary rhegmatogenous retinal detachment. Am J Ophthalmol. 1985 Mar 15;99(3):275–281. doi: 10.1016/0002-9394(85)90356-3. [DOI] [PubMed] [Google Scholar]
  8. Fawcett I. M., Williams R. L., Wong D. Contact angles of substances used for internal tamponade in retinal detachment surgery. Graefes Arch Clin Exp Ophthalmol. 1994 Jul;232(7):438–444. doi: 10.1007/BF00186587. [DOI] [PubMed] [Google Scholar]
  9. Fison P. N., Chignell A. H. Diplopia after retinal detachment surgery. Br J Ophthalmol. 1987 Jul;71(7):521–525. doi: 10.1136/bjo.71.7.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Flindall R. J., Norton E. W., Curtin V. T., Gass J. D. Reduction of extrusion and infection following episcleral silicone implants and cryopexy in retinal detachment surgery. Am J Ophthalmol. 1971 Apr;71(4):835–837. doi: 10.1016/0002-9394(71)90250-9. [DOI] [PubMed] [Google Scholar]
  11. Gartry D. S., Chignell A. H., Franks W. A., Wong D. Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment uncomplicated by advanced proliferative vitreoretinopathy. Br J Ophthalmol. 1993 Apr;77(4):199–203. doi: 10.1136/bjo.77.4.199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Goel R., Crewdson J., Chignell A. H. Astigmatism following retinal detachment surgery. Br J Ophthalmol. 1983 May;67(5):327–329. doi: 10.1136/bjo.67.5.327. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Hakin K. N., Lavin M. J., Leaver P. K. Primary vitrectomy for rhegmatogenous retinal detachment. Graefes Arch Clin Exp Ophthalmol. 1993 Jun;231(6):344–346. doi: 10.1007/BF00919031. [DOI] [PubMed] [Google Scholar]
  14. Heimann H., Bornfeld N., Friedrichs W., Helbig H., Kellner U., Korra A., Foerster M. H. Primary vitrectomy without scleral buckling for rhegmatogenous retinal detachment. Graefes Arch Clin Exp Ophthalmol. 1996 Sep;234(9):561–568. doi: 10.1007/BF00448800. [DOI] [PubMed] [Google Scholar]
  15. Kwartz J., Charles S., McCormack P., Jackson A., Lavin M. Anterior segment ischaemia following segmental scleral buckling. Br J Ophthalmol. 1994 May;78(5):409–410. doi: 10.1136/bjo.78.5.409. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Leaver P. Expanding the role of vitrectomy in retinal reattachment surgery. Br J Ophthalmol. 1993 Apr;77(4):197–197. doi: 10.1136/bjo.77.4.197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Machemer R., Aaberg T. M., Freeman H. M., Irvine A. R., Lean J. S., Michels R. M. An updated classification of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol. 1991 Aug 15;112(2):159–165. doi: 10.1016/s0002-9394(14)76695-4. [DOI] [PubMed] [Google Scholar]
  18. Orzalesi N., Migliavacca L., Bottoni F., Miglior S. Experimental short-term tolerance to perfluorodecalin in the rabbit eye: a histopathological study. Curr Eye Res. 1998 Aug;17(8):828–835. doi: 10.1076/ceyr.17.8.828.5157. [DOI] [PubMed] [Google Scholar]
  19. Rosen P. H., Wong H. C., McLeod D. Indentation microsurgery: internal searching for retinal breaks. Eye (Lond) 1989;3(Pt 3):277–281. doi: 10.1038/eye.1989.38. [DOI] [PubMed] [Google Scholar]
  20. Rubin M. L. The induction of refractive errors by retinal detachment surgery. Trans Am Ophthalmol Soc. 1975;73:452–490. [PMC free article] [PubMed] [Google Scholar]
  21. Ryan S. J., Goldberg M. F. Anterior segment ischemia following scleral buckling in sickle cell hemoglobinopathy. Am J Ophthalmol. 1971 Jul 30;72(1):35–50. doi: 10.1016/0002-9394(71)91588-1. [DOI] [PubMed] [Google Scholar]
  22. Snead M. P., Scott J. D. Results of primary retinal detachment surgery: a prospective audit. Eye (Lond) 1998;12(Pt 4):750–751. doi: 10.1038/eye.1998.187. [DOI] [PubMed] [Google Scholar]
  23. Sullivan P. M., Luff A. J., Aylward G. W. Results of primary retinal reattachment surgery: a prospective audit. Eye (Lond) 1997;11(Pt 6):869–871. doi: 10.1038/eye.1997.223. [DOI] [PubMed] [Google Scholar]
  24. Tabandeh H., Sullivan P. M., Smahliuk P., Flynn H. W., Jr, Schiffman J. Suprachoroidal hemorrhage during pars plana vitrectomy. Risk factors and outcomes. Ophthalmology. 1999 Feb;106(2):236–242. doi: 10.1016/S0161-6420(99)90062-3. [DOI] [PubMed] [Google Scholar]
  25. Williams R., Wong D. The influence of explants on the physical efficiency of tamponade agents. Graefes Arch Clin Exp Ophthalmol. 1999 Oct;237(10):870–874. doi: 10.1007/s004170050325. [DOI] [PubMed] [Google Scholar]
  26. Wong D., Billington B. M., Chignell A. H. Pars plana vitrectomy for retinal detachment with unseen retinal holes. Graefes Arch Clin Exp Ophthalmol. 1987;225(4):269–271. doi: 10.1007/BF02150146. [DOI] [PubMed] [Google Scholar]
  27. Woon W. H., Burdon M. A., Green W. T., Chignell A. H. Comparison of pars plana vitrectomy and scleral buckling for uncomplicated rhegmatogenous retinal detachment. Curr Opin Ophthalmol. 1995 Jun;6(3):76–79. doi: 10.1097/00055735-199506000-00013. [DOI] [PubMed] [Google Scholar]
  28. Yoshida A., Feke G. T., Green G. J., Goger D. G., Matsuhashi M., Jalkh A. E., McMeel J. W. Retinal circulatory changes after scleral buckling procedures. Am J Ophthalmol. 1983 Feb;95(2):182–188. doi: 10.1016/0002-9394(83)90012-0. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES