A method to decrease the frequency of unintentional slippage after vitrectomy for rhegmatogenous retinal detachment

Chieko Shiragami, Kouki Fukuda, Hidetaka Yamaji, Misako Morita, Fumio Shiraga

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)


Purpose: To investigate a method for preventing retinal slippage after standard vitrectomy for rhegmatogenous retinal detachment. Methods: Eighty six eyes with bullous rhegmatogenous retinal detachment underwent successful standard vitrectomy. Patients were divided into 2 groups. In Group 1, 44 patients started face-down positioning at approximately 10 minutes after the end of the surgery. In Group 2, 42 patients started face-down positioning immediately at the end of the surgery. Postoperative retinal slippage was determined by fundus autofluorescence at 1 month postoperatively. Statistical analysis examined several factors to determine the association between the start time of the face-down positioning and retinal slippage. Results: Retinal slippage occurred in 63.6% of Group 1 and in 24.0% of Group 2 patients. This difference was statistically significant (P 0.004, Fisher's exact probability test). Both the extent of retinal slippage (P 0.029) and the face-down position (P < 0.001) were significantly associated with the retinal slippage. Conclusion: Earlier implementation of face-down positioning may prevent retinal slippage after surgery in eyes with rhegmatogenous retinal detachment treated by standard vitrectomy.

Original languageEnglish
Pages (from-to)758-763
Number of pages6
Issue number4
Publication statusPublished - Apr 1 2015


  • binocular diplopia
  • extorsion
  • face-down position
  • fundus autofluorescence
  • hyperautofluorescent line
  • lipofuscin
  • retinal slippage
  • rhegmatogenous retinal detachment
  • vertical deviation
  • vitrectomy

ASJC Scopus subject areas

  • Ophthalmology


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