Retinal Detachment
Conditions
Keywords
scleral indentation, chandelier light, air vitrectomy, rhegmatogenous retinal detachment
Brief summary
The investigators compared the incidence of trimming-induced retinal breaks, retinal redetachment rate, and final LogMAR BCVA; between scleral self-indentation and non-indentation during chandelier-assisted peripheral vitrectomy under air for eyes with primary retinal detachment. Self-indentation enables complete trimming of the vitreous base without causing iatrogenic retinal breaks, with a higher retinal reattachment rate, and with less need for chandelier shift than with non-indentation approach.
Detailed description
Retrospective cohort study. One hundred and thirty eyes of 130 participants with primary rhegmatogenous retinal detachment were identified. All the participants had undergone a chandelier-assisted peripheral vitrectomy under air. Scleral self-indentation had been used in 68 eyes (study group) (Indentation group), while non-indentation had been used in 62 eyes (comparison group) (Non-indentation group). Outcome variables included: Trimming-induced retinal breaks (TIRB), retinal redetachment rate, final LogMAR BCVA, and intraoperative complications.
Interventions
PROCEDUREchandelier-assisted peripheral vitrectomy under air
chandelier-assisted peripheral vitrectomy under air for management of peripheral vitreous during RD vitrectomy; whether using indentation or non-indentation
Sponsors
Dar El Oyoun Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
16 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
\- RRD with postoperative follow up \> 3 months, without PVR, or with PVR A-B
Exclusion criteria
* RRD with less than 3 months of postoperative follow-up, * RRD with proliferative vitreoretinopathy grade C (PVR C), * RRD with uveitis, * RRD with choroidal detachment, * Giant retinal tears, * Retinal dialysis, * Myopic macular hole RRD, * Traumatic RD, * Children \< 16 years old, * The later vitrectomy (if vitrectomy had been performed for RRD in both eyes)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trimming-induced retinal breaks (TIRB) (yes/ No) | intraoperative | number of eyes with iatrogenic retinal breaks along vitreous base during vitreous base trimming |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| retinal redetachment rate (yes/no) | within 3 months | number of eyes in which recurrent retinal detachment occurred |
| final LogMAR BCVA | final follow-up visit ( at least 3 months) | best spectacle corrected visual acuity measured by decimal charts then converted to LogMAR |
| number of Trimming-induced retinal breaks (TIRB) | intraoperative | number of iatrogenic retinal breaks along vitreous base during vitreous base trimming |
| Chandelier shift (yes/no) | intraoperative | the need to shift position of chandelier light |
| Local anaesthesia augmentation (yes/no) | intraoperative | the need for augmenting local anesthesia for the participant to tolerate indentation |
| snellen BCVA > 20/100 (yes/ no) | 3 months | number of eyes with best corrected visual acuity better than snellen's 20/100 measured by snellen's chart |
Countries
Egypt
Outcome results
None listed