SCIENTIFIC POSTER 2016_Air Endotamponade Application in Patients with Rhegmatogenous RD Katarzyna Michalska-Malecka


The aim of this research was to evaluate the results of retinal detachment treatment with pars plana vitrectomy using air endotamponade.


The research was conducted among 23 patients aged from 43 to 74 years old, 9 women (39.1%) and 14 man (60.9%). All patients underwent the treatment using pars plana vitrectomy because of rhegmatogenous retinal detachments in superior quadrants with macula on or off. In 9 patients (39.1%) we have observed retinal detachment with macula on, in 14 patients (60.9%) retinal detachment with macula off. In 11 patients (47.8%) the pars plana vitrectomy was performed with clear lens saving, in 5 patients (21.8%) with simultaneous cataract surgery and in 7 pseudophakic patients (30.4%). In order to eliminate the occurrence of tractions which develop after air administration, during the vitrectomy procedure, in all patients, we have perfromemd a through vitrectomy with removal of central and peripheral parts of the vitreous body. Patients were subjected to a three-month control. They embraced intraocular pressure (IOP) and best corrected visual acuity (BCVA) examinations as well as the evaluation of possible local complicati ons.


After the first pars plana vitrectomy we have observed retina reattachment in 19 patients (82.6%). Recurrent retinal detachment occurred in 4 patients (17.4%). Improvement of visual acuity was achieved just after a few days. In one patient (4.4%) 90 days after pars plana vitrectomy we observed cataract occurrence.


The use of air in endotamponade during pars plana vitrectomy in rhegmatogenous retinal detachment in superior quadrants treatment is an effective and safe method. Air as the endotamponade used in eyes with own lens reduces the risk of secondary cataract development which is more frequent after the use of gas. What is more, the air remains in the eye shorter than the gas. Better results of visual acuity improvement after pars plana vitrectomy with air endotamponade are achieved in eyes with retinal detachment with macula off.

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