Surgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures
Koichi Nishitsuka, Madoka Nakamura, Katsuhiro Nishi, Hiroyuki Namba, Yutaka Kaneko, Hidetoshi Yamashita Department of Ophthalmology and Visual Sciences, Yamagata University Faculty of Medicine, Yamagata, JapanCorrespondence: Koichi NishitsukaDepartment of Ophthalmology and Visual Sciences, Yamagata...
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Dove Medical Press
2021
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oai:doaj.org-article:66d80e6531f347a6895cb273e530dbf22021-12-02T15:49:54ZSurgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures1177-5483https://doaj.org/article/66d80e6531f347a6895cb273e530dbf22021-05-01T00:00:00Zhttps://www.dovepress.com/surgical-outcomes-of-rhegmatogenous-retinal-detachment-with-different--peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Koichi Nishitsuka, Madoka Nakamura, Katsuhiro Nishi, Hiroyuki Namba, Yutaka Kaneko, Hidetoshi Yamashita Department of Ophthalmology and Visual Sciences, Yamagata University Faculty of Medicine, Yamagata, JapanCorrespondence: Koichi NishitsukaDepartment of Ophthalmology and Visual Sciences, Yamagata University Faculty of Medicine, Yamagata City, JapanTel +81 23-628-5374Fax +81 23-528-5377Email mlc12186@nifty.comPurpose: To compare the surgical outcomes of vitreous surgery for rhegmatogenous retinal detachment (RRD) after two different peripheral vitreous-shaving techniques are performed.Methods: We reviewed 269 eyes with RRD that were treated with a 25-gauge vitrectomy by a single surgeon between June 2015 and May 2020. The exclusion criteria for the proposed air tamponade selection were as follows: more than two weeks since RRD onset, giant retinal tears, a history of complications following cataract surgery, high myopia, and proliferative vitreoretinopathy classified as grade C or higher. We examined the differences in the therapeutic effect between shaving under slit lamp microscope illumination (group A) and shaving under a wide-angle viewing system (group B).Results: A total of 269 eyes were included in this study, with 146 eyes in group A and 123 eyes in group B. The primary anatomical success rates did not differ between group A (97.3%; 142/146 eyes) and group B (97.6%; 120/123 eyes; P = 0.102). However, the surgical time was significantly longer in group A (60.2 ± 17.1 min) than that in group B (46.9 ± 12.6 min) (P < 0.001). The multiple linear regression analysis revealed that surgical time was significantly correlated with using the wide-angle noncontact viewing system for vitreous shaving (adjusted R2 = 0.248; beta [standard partial regression coefficient] = − 0.447, P < 0.001), the number of retinal breaks (beta = 0.182, P = 0.001), and the quadrant of retinal detachment (beta = 0.205, P < 0.001).Conclusion: The surgical outcomes were similar regardless of the shaving procedure performed, and the surgical time was shortened by using the wide-angle noncontact viewing system for vitreous shaving.Keywords: vitrectomy, vitreous base, posterior vitreous-cortex detachment, slit lamp microscope illumination, wide-angle noncontact viewing systemNishitsuka KNakamura MNishi KNamba HKaneko YYamashita HDove Medical Pressarticlevitrectomyvitreous baseposterior vitreous-cortex detachmentslit lamp microscope illuminationwide-angle noncontact viewing systemOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 2197-2202 (2021) |
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vitrectomy vitreous base posterior vitreous-cortex detachment slit lamp microscope illumination wide-angle noncontact viewing system Ophthalmology RE1-994 |
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vitrectomy vitreous base posterior vitreous-cortex detachment slit lamp microscope illumination wide-angle noncontact viewing system Ophthalmology RE1-994 Nishitsuka K Nakamura M Nishi K Namba H Kaneko Y Yamashita H Surgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures |
| description |
Koichi Nishitsuka, Madoka Nakamura, Katsuhiro Nishi, Hiroyuki Namba, Yutaka Kaneko, Hidetoshi Yamashita Department of Ophthalmology and Visual Sciences, Yamagata University Faculty of Medicine, Yamagata, JapanCorrespondence: Koichi NishitsukaDepartment of Ophthalmology and Visual Sciences, Yamagata University Faculty of Medicine, Yamagata City, JapanTel +81 23-628-5374Fax +81 23-528-5377Email mlc12186@nifty.comPurpose: To compare the surgical outcomes of vitreous surgery for rhegmatogenous retinal detachment (RRD) after two different peripheral vitreous-shaving techniques are performed.Methods: We reviewed 269 eyes with RRD that were treated with a 25-gauge vitrectomy by a single surgeon between June 2015 and May 2020. The exclusion criteria for the proposed air tamponade selection were as follows: more than two weeks since RRD onset, giant retinal tears, a history of complications following cataract surgery, high myopia, and proliferative vitreoretinopathy classified as grade C or higher. We examined the differences in the therapeutic effect between shaving under slit lamp microscope illumination (group A) and shaving under a wide-angle viewing system (group B).Results: A total of 269 eyes were included in this study, with 146 eyes in group A and 123 eyes in group B. The primary anatomical success rates did not differ between group A (97.3%; 142/146 eyes) and group B (97.6%; 120/123 eyes; P = 0.102). However, the surgical time was significantly longer in group A (60.2 ± 17.1 min) than that in group B (46.9 ± 12.6 min) (P < 0.001). The multiple linear regression analysis revealed that surgical time was significantly correlated with using the wide-angle noncontact viewing system for vitreous shaving (adjusted R2 = 0.248; beta [standard partial regression coefficient] = − 0.447, P < 0.001), the number of retinal breaks (beta = 0.182, P = 0.001), and the quadrant of retinal detachment (beta = 0.205, P < 0.001).Conclusion: The surgical outcomes were similar regardless of the shaving procedure performed, and the surgical time was shortened by using the wide-angle noncontact viewing system for vitreous shaving.Keywords: vitrectomy, vitreous base, posterior vitreous-cortex detachment, slit lamp microscope illumination, wide-angle noncontact viewing system |
| format |
article |
| author |
Nishitsuka K Nakamura M Nishi K Namba H Kaneko Y Yamashita H |
| author_facet |
Nishitsuka K Nakamura M Nishi K Namba H Kaneko Y Yamashita H |
| author_sort |
Nishitsuka K |
| title |
Surgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures |
| title_short |
Surgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures |
| title_full |
Surgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures |
| title_fullStr |
Surgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures |
| title_full_unstemmed |
Surgical Outcomes of Rhegmatogenous Retinal Detachment with Different Peripheral Vitreous-Shaving Procedures |
| title_sort |
surgical outcomes of rhegmatogenous retinal detachment with different peripheral vitreous-shaving procedures |
| publisher |
Dove Medical Press |
| publishDate |
2021 |
| url |
https://doaj.org/article/66d80e6531f347a6895cb273e530dbf2 |
| work_keys_str_mv |
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