Abstract | PURPOSE: To introduce a new surgical technique with a beveled vitrectomy probe for the removal of peripheral vitreous cortex remnants (VCR) in primary rhegmatogenous retinal detachment (RRD). METHODS: This study was a retrospective case series. From September 2019 to June 2022, 54 patients with complete or partial posterior vitreous detachment who underwent vitrectomy for primary RRD by a single surgeon were enrolled. RESULTS: After staining the vitreous with triamcinolone acetonide, the presence of VCR was assessed in detail. If VCR were present, the macular VCR were removed using surgical forceps, and then, a free flap of peripheral VCR was used as a handle for removing peripheral VCR using the beveled vitrectomy probe. Of the total patients, the presence of VCR was confirmed in 16 patients (29.6%). There were no intraoperative or postoperative complications, except for retinal redetachment caused by proliferative vitreoretinopathy, that occurred in only one eye (1.9%). CONCLUSION: Using a beveled vitrectomy probe was a practical solution for removing VCR during RRD vitrectomy because additional instruments were not needed and risk of iatrogenic retinal damage was low.
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Authors | Sung Ha Hwang, Dae Yeong Lee, Dong Heun Nam |
Journal | Retina (Philadelphia, Pa.)
(Retina)
Vol. 43
Issue 12
Pg. 2173-2176
(Dec 01 2023)
ISSN: 1539-2864 [Electronic] United States |
PMID | 36913622
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Humans
- Retinal Detachment
(surgery, etiology)
- Vitrectomy
(methods)
- Retrospective Studies
- Retinal Diseases
(surgery)
- Triamcinolone Acetonide
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