23–Gauge Transconjuctival Sutureless Vitrectomy for Primary Rhegmatogenous Retinal Detachment

Dr. Abhijeet Ramchandra Sable; Dr. Suhas Shripad Kulkarni; Dr. Divya Vakharia

Volume : V, Issue : IV, April - 2015

23–Gauge Transconjuctival Sutureless Vitrectomy for Primary Rhegmatogenous Retinal Detachment

Dr. Abhijeet Ramchandra Sable, Dr. Suhas Shripad Kulkarni, Dr. Divya Vakharia

Abstract :

PURPOSE: To evaluate the anatomical & visual outcome following 23G vitrectomy for primary rhegmatogenous retinal detachment (RRD). METHODS: Retrospective, interventional, non–comparative case series of 27 eyes with RRD, underwent 23G–vitrectomy with silicon–oil or C3F8 tamponade. Anatomical stability and best corrected visual acuity (BCVA) noted at 6 months. RESULTS: Primary anatomical success rate was 92.59%. 2 eyes had redetachment which was successfully repaired. BCVA was good in 66.6% (> 6/24) and poor in14.8% (<6/60) at 6 months follow up.12 out of 27 eyes were phakics of which 6 developed gas cataracts, 3 warranting cataract removal with IOL implantation. CONCLUSION: 23G–transconjunctival–sutureless–vitrectomy for repair of primary RRD has shown to have a good anatomical success rate with no postoperative complications like hypotony or endophthalmitis.