Authors: Francesco Boscia, Luigi Sborgia, Nicola Recchimurzo, Claudio Furino, Gianluca

Besozzi, Bari, Italy

Advantages:

OGI involving PS is usually treated by radical PPV, in order to remove scaffold for future traction. However, radical PPV has several complications. This paper evaluates efficacy and safety of P-PPV in selected cases of OGI involving PS.

Methods:

Nine eyes (9 patients) with OGI involving PS, without retinal detachment, endophthalmitis or suprachoroidal hemorrhage. P-PPV was limited to central vitreous and traumatized area, without vitreous base and posterior hyaloid removal. If present, traumatic cataract was extracted (n=7), IOFBs removed (n=8) and retinal breaks lasered.  Main outcomes were BCVA and retinal attachment. Follow-up was 14.3 months (range 9-19).

Effectiveness / Safety:

In all patients, preoperative BCVA was: 20/200, improving postoperatively at level of 20/50, and retina was completely attached. No patient had complications.

Take home message:

Partial PPV (limited to central vitreous and traumatized area, with IOFBs removal, and retinal break lasering) is a successful procedure to treat OGI involving PS without retinal detachment, endophthalmitis or suprachoroidal hemorrhage. It achieves good visual and anatomical results. We did not observe intra- or post-operative complications related to a radical PPV. Selection of cases is mandatory for a successful procedure.