Skip to main content

Advertisement

Log in

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

  • Retinal Disorders
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Tseng JJ, Barile GR, Schiff WM, Akar Y, Vidne-Hay O, Chang S (2005) Influence of relaxing retinotomy on surgical outcomes in proliferative vitreoretinopathy. Am J Ophthalmol 140:628–636

    Article  PubMed  Google Scholar 

  2. Quiram PA, Gonzales CR, Hu W, Gupta A, Yoshizumi MO, Kreiger AE, Schwartz SD (2006) Outcomes of vitrectomy with inferior retinectomy in patients with recurrent rhegmatogenous retinal detachments and proliferative vitreoretinopathy. Ophthalmology 113:2041–2047

    Article  PubMed  Google Scholar 

  3. Grigoropoulos VG, Benson S, Bunce C, Charteris DG (2007) Functional outcome and prognostic factors in 304 eyes managed by retinectomy. Graefes Arch Clin Exp Ophthalmol 245:641–649

    Article  PubMed  Google Scholar 

  4. de Silva DJ, Kwan A, Bunce C, Bainbridge J (2008) Predicting visual outcome following retinectomy for retinal detachment. Br J Ophthalmol 92:954–958. doi:10.1136/bjo

    Article  PubMed  Google Scholar 

  5. Tsui I, Schubert HD (2009) Retinotomy and silicone oil for detachments complicated by anterior inferior proliferative vitreoretinopathy. Br J Ophthalmol 93:1228–1233. doi:10.1136/bjo

    Article  CAS  PubMed  Google Scholar 

  6. Tan HS, Mura M, Oberstein SY, de Smet MD (2010) Primary retinectomy in proliferative vitreoretinopathy. Am J Ophthalmol 149:447–452. doi:10.1016/j.ajo

    Article  PubMed  Google Scholar 

  7. Sato T, Emi K, Sato S, Bando H, Ikeda T (2011) Comparison of vitrectomy outcomes for eyes with proliferative vitreoretinopathy with and without prior vitrectomy. Nihon Ganka Gakkai Zasshi 115:832–838

    PubMed  Google Scholar 

  8. Lewis H, Aaberg TM (1988) Anterior proliferative vitreoretinopathy. Am J Ophthalmol 105:277–284

    Article  CAS  PubMed  Google Scholar 

  9. Lewis H, Aaberg TM, Abrams GW (1991) Causes of failure after initial vitreoretinal surgery for severe proliferative vitreoretinopathy. Am J Ophthalmol 111:8–14

    Article  CAS  PubMed  Google Scholar 

  10. Lewis H, Aaberg TM (1991) Causes of failure after repeat vitreoretinal surgery for recurrent proliferative vitreoretinopathy. Am J Ophthalmol 111:15–19

    Article  CAS  PubMed  Google Scholar 

  11. Diddie KR, Azen SP, Freeman HM, Boone DC, Aaberg TM, Lewis H, Radtke ND, Ryan SJ (1996) Anterior proliferative vitreoretinopathy in the silicone study. Silicone study report number 10. Ophthalmology 103:1092–1099

    Article  CAS  PubMed  Google Scholar 

  12. Fujii GY, De Juan E, Jr HMS, Pieramici DJ, Chang TS, Awh C, Ng E, Barnes A, Wu SL, Sommerville DN (2002) A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery. Ophthalmology 109:1807–1812

    Article  PubMed  Google Scholar 

  13. Sato T, Emi K, Bando H, Ikeda T (2012) Retrospective comparison of 25-gauge vitrectomy with 20-gauge vitrectomy in the repair of retinal detachment complicated with proliferative vitreoretinopathy. Nihon Ganka Gakkai Zasshi 116:100–107

    PubMed  Google Scholar 

  14. Iwahashi-Shima C, Sato T, Bando H, Ikeda T, Emi K (2013) Anatomical and functional outcomes of 25-gauge vitrectomy for repair of eyes with rhegmatogenous retinal detachment complicated by proliferative vitreoretinopathy. Clin Ophthalmol 7:2043–2049. doi:10.2147/OPTH.S52260

    PubMed Central  PubMed  Google Scholar 

  15. Recchia FM, Scott IU, Brown GC, Brown MM, Ho AC, Ip MS (2010) Small-gauge pars plana vitrectomy: a report by the American Academy of Ophthalmology. Ophthalmology 117:1851–1857. doi:10.1016/j.ophtha

    Article  PubMed  Google Scholar 

  16. Moysidis SN, Thanos A, Vavvas DG (2012) Mechanisms of inflammation in proliferative vitreoretinopathy: from bench to bedside. Mediators Inflamm 2012:815937. doi:10.1155/815937

    Article  PubMed Central  PubMed  Google Scholar 

  17. Machemer R, Aaberq TM, Freeman HM, Irvine AR, Lean JS, Michels RM (1991) An updated classification of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol 112:159–165

    Article  CAS  PubMed  Google Scholar 

  18. Kadonosono K, Itoh N, Uchio E, Nakamura S, Ohno S (2000) Staining of internal limiting membrane in macular hole surgery. Arch Ophthalmol 118:1116–1118

    Article  CAS  PubMed  Google Scholar 

  19. Enaida H, Hisatomi T, Hata Y, Ueno A, Goto Y, Yamada T, Kubota T, Ishibashi T (2006) Brilliant blue G selectively stains the internal limiting membrane/brilliant blue G-assisted membrane peeling. Retina 26:631–636

    Article  PubMed  Google Scholar 

  20. Aras C, Arici C, Akar S, Muftuoglu G, Yolar M, Arvas S, Baserer T, Koyluoglu N (2009) Peeling of internal limiting membrane during vitrectomy for complicated retinal detachment prevents epimacular membrane formation. Graefes Arch Clin Exp Ophthalmol 247:619–623. doi:10.1007/s00417-008-1025-y

    Article  PubMed  Google Scholar 

  21. Odrobina D, Bednarski M, Cisiecki S, Michalewska Z, Kuhn F, Phd JN (2012) Internal limiting membrane peeling as prophylaxis of macular pucker formation in eyes undergoing retinectomy for severe proliferative vitreoretinopathy. Retina 32:226–231. doi:10.1097/IAE.0b013e31821a12e9

    Article  PubMed  Google Scholar 

  22. Bamonte G, Mura M, Stevie Tan H (2011) Hypotony after 25-gauge vitrectomy. Am J Ophthalmol 151:156–160. doi:10.1016/j.ajo

    Article  PubMed  Google Scholar 

  23. Schulze-Bonsel K, Feltgen N, Burau H, Hansen L, Bach M (2006) Visual acuities “hand motion” and “counting fingers” can be quantified with the Freiburg visual acuity test. Invest Ophthalmol Vis Sci 47:1236–1240

    Article  PubMed  Google Scholar 

  24. Grover S, Fishman GA, Anderson RJ, Tozatti MS, Heckenlively JR, Weleber RG, Edwards AO, Brown J Jr (1999) Visual acuity impairment in patients with retinitis pigmentosa at age 45 years or older. Ophthalmology 106:1780–1785

    Article  CAS  PubMed  Google Scholar 

  25. Sato T, Kusaka S, Oshima Y, Fujikado T (2008) Analyses of cutting and aspirating properties of vitreous cutters with high-speed camera. Retina 28:749–754. doi:10.1097/IAE.0b013e3181631907

    Article  PubMed  Google Scholar 

  26. Diniz B, Ribeiro RM, Fernandes RB, Lue JC, Teixeira AG, Maia M, Humayun MS (2013) Fluidics in a dual pneumatic ultra high-speed vitreous cutter system. Ophthalmologica 229:15–20. doi:10.1159/000343073

    Article  PubMed Central  PubMed  Google Scholar 

  27. Blumenkranz MS, Azen SP, Aaberg T, Boone DC, Lewis H, Radtke N, Ryan SJ (1993) Relaxing retinotomy with silicone oil or long-acting gas in eyes with severe proliferative vitreoretinopathy. Silicone Study Report 5. The Silicone Study Group. Am J Ophthalmol 116:557–564

    Article  CAS  PubMed  Google Scholar 

  28. Barr CC, Lai MY, Lean JS, Linton KL, Trese M, Abrams G, Ryan SJ, Azen SP (1993) Postoperative intraocular pressure abnormalities in the Silicone Study. Silicone Study report 4. Ophthalmology 100:1629–1635

    Article  CAS  PubMed  Google Scholar 

  29. Tseng JJ, Schiff WM, Barile GR, Biscette O, Williams SL, Cekic O, Dhrami-Gavazi E, Chang S (2009) Influence of postoperative lens status on intraocular pressure in proliferative vitreoretinopathy. Am J Ophthalmol 147:875–885. doi:10.1016/j.ajo

    Article  PubMed  Google Scholar 

Download references

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.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tatsuhiko Sato.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

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

Keywords

Navigation