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Retrospective comparison of 25-gauge vitrectomy for repair of proliferative vitreoretinopathy with or without anterior proliferation

  • Retinal Disorders
  • Published:
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Abstract

Purpose

The purpose of the study was to compare the outcomes of 25-gauge vitrectomy for the repair of rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) with and without anterior PVR (A-PVR).

Methods

We reviewed the medical records of 26 eyes of 26 patients who underwent 25-gauge vitrectomy for grade C PVR with A-PVR and 16 eyes of 16 patients who underwent the same procedure for grade C PVR without A-PVR.

Results

The number of previous surgeries for RRD was significantly higher in A-PVR cases than in those without A-PVR (P = 0.021). Scleral buckling and retinotomy/retinectomy were performed significantly more frequently in A-PVR eyes than in those without A-PVR (P = 0.017 and <0.001, respectively). The A-PVR eyes required longer surgical times than those without A-PVR (P =0.001). Final anatomical success was achieved in 24 of 26 (92.3 %) eyes with A-PVR and 16 of 16 (100 %) eyes without A-PVR (P =0.517). Best-corrected visual acuity before and six months after vitrectomy was 1.41 ± 0.96 and 0.86 ± 0.78 logarithm of minimal angle of resolution (logMAR) units, respectively, in eyes with A-PVR and 1.17 ± 0.87 and 0.63 ± 0.72 logMAR units, respectively, in eyes without A-PVR (P =0.355 and 0.276, respectively).

Conclusions

These results indicate that 25-gauge vitrectomy can be used for both types of PVR, although eyes with A-PVR may require scleral buckling and retinotomy/retinectomy more often and may require longer surgical times.

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Acknowledgments

This work was supported by the Clinical Research Center for Occupational Sensory Organ Disability under the auspices of the Ministry of Health, Labour and Welfare, Tokyo, Japan. The funding organization had no role in the design or conduct of this research.

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Authors and Affiliations

  1. Osaka Rosai Hospital Clinical Research Center for Occupational Sensory Organ Disability, 1179-3 Nagasone-cho, Kita-ku, Sakai, 591-8025, Japan

    Tatsuhiko Sato, Kazuyuki Emi, Hajime Bando & Toshihide Ikeda

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  1. Tatsuhiko Sato
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  2. Kazuyuki Emi
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  3. Hajime Bando
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  4. Toshihide Ikeda
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Correspondence to Tatsuhiko Sato.

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Sato, T., Emi, K., Bando, H. et al. Retrospective comparison of 25-gauge vitrectomy for repair of proliferative vitreoretinopathy with or without anterior proliferation. Graefes Arch Clin Exp Ophthalmol 252, 1895–1902 (2014). https://doi.org/10.1007/s00417-014-2846-5

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  • DOI: https://doi.org/10.1007/s00417-014-2846-5

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