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Date Published: 10/06/2024
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DOI: https://doi.org/10.51298/vmj.v539i2.9812
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Vol. 539 No. 2 (2024)
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Trần, M. T., Ngô, T. T., & Võ , Q. M. (2024). OUTCOME OF COMBINED VITRECTOMY AND SILICONE OIL TAMPONADE WITH SCLERAL BUCKLING FOR RHEGMATOGENOUS RETINAL DETACHMENT WITH PROLIFERATIVE VITREORETINOPATHY. Vietnam Medical Journal, 539(2). https://doi.org/10.51298/vmj.v539i2.9812

OUTCOME OF COMBINED VITRECTOMY AND SILICONE OIL TAMPONADE WITH SCLERAL BUCKLING FOR RHEGMATOGENOUS RETINAL DETACHMENT WITH PROLIFERATIVE VITREORETINOPATHY

Minh Trí Trần, Thanh Tùng Ngô, Quang Minh Võ

Main Article Content

Abstract

Introduction: Proliferative vitreoretinopathy (PVR) is a well‑described complication of rhegmatogenous retinal detachment (RRD) and is the most common cause of failure in retinal reattachment surgery. Purpose: To evaluate the surgical outcomes of combined pars plana vitrectomy (PPV) and silicone tamponade with scleral buckling for RRD complicated with PVR. Participants: Patients with grade C PVR (The Retina Society Terminology Committee classification system, 1983). Methods: Uncontrolled clinical trial. Patients were treated with vitrectomy and silicone oil tamponade combined with scleral buckling. 3 - 6 months after surgery, silicone oil was removed. Results: The study included 34 eyes with 7_month’ follow-up. Single_surgery anatomic success was 82,4%. Best-corrected visual acuity (logMAR) statistically improved from 1,84 ± 0,63 (pre-op) to 0,83 ± 0,24 (7 months post-op) (p < 0,001). Complications included recurrent retinal detachment (17,65%), increased intraocular pressure (32,35%), cataract (40%), epiretinal membrane (5,88%) and buckle extrusion (2,94%). Conclusion: Our findings suggested that the combination of PPV and silicone oil tamponade with scleral buckling is effective in the treatment of RRD with grade C PVR, yielding satisfactory anatomical success and improved visual outcome

Article Details

Keywords

retinal detachment, proliferative vitreoretinopathy, vitrectomy, scleral buckling, silicone oil.

References

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