Abstract
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 language | English |
|---|---|
| Pages (from-to) | 758-763 |
| Number of pages | 6 |
| Journal | Retina |
| Volume | 35 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Apr 1 2015 |
Keywords
- binocular diplopia
- extorsion
- face-down position
- fundus autofluorescence
- hyperautofluorescent line
- lipofuscin
- retinal slippage
- rhegmatogenous retinal detachment
- vertical deviation
- vitrectomy
ASJC Scopus subject areas
- Ophthalmology