Tariq Khan, Imran Ahmad, Mubashir Rehman, Irfan Aslam Khattak.
Outcome of Pars Plana Vitrectomy performed for Complex Rhegmatogenous Retinal Detachment.
Ophthalmol Update Jan ;15(3):340-2.

Objective: To analyze the outcome of Pars Plana Vitrectomy (PPV) in treating eyes with complex Rhegmatogenous Retinal Detachment (RRD) in patients presenting at Ophthalmology Department Hayatabad Medical Complex Peshawar. Study design: a retrospective study. Place and duration of study: Department of Ophthalmology, Hayatabad Medical Complex, Peshawar from1st April 2016 to 31st December 2016. Patients and methods Pars Plana Vitrectomy (PPV) was performed with a standard 3-ports method with indications of Proliferative Vitreo-Retinopathy (PVR) grade B and C breaks posterior to equator and breaks greater than 90 degrees (i.e. giant retinal tears). Silicone Oil or C3 F8 gas was used as internal tamponade. Post-operative variables were the initial and final anatomical success, final BCVA after follow-up period, complications and subsequent surgical interventions for surgical failures/ re-detachments. Results: A total of 194 eyes of 152 patients were included in the study. The mean visual acuity improved from 2.4 � 0.70 to 1.3 � 0.60 log MAR post-operatively. The failure and re-detachment rates after the first surgery were 7.22% and 10.82% respectively. In 182 out of 194 eyes (93.81%), the retina was ultimately re-attached. The mean follow-up period was 7 months (range: 3-11 months). Conclusion: In complex retinal detachment cases (like those associated with high grade Proliferative Vitreo-Retinopathy), Pars Plana Vitrectomy is an effective surgical procedure to re-attach the detached retina.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com