Woohyok Chang, Byoung Young Gu, Min Sagong (Daegu, South Korea)

Purpose:

To compare the outcomes of phaco-vitrectomy and vitrectomy for treatment of primary rhegmatogenous retinal detachment.

Methods:

Retrospective comparison of the anatomical success, functional success and complications between patients in Group I, who underwent vitrectomy only for primary rhegmatogenous retinal detachment, and Group II who underwent phaco-vitrectomy for primary rhegmatogenous retinal detachment.

Results:

Twenty-one eyes (84.0%) of Group I had reattachment with a single procedure, and 27 eyes (90.0%) of Group II had reattachment with combined procedure. This difference was not significant statistically (p=0.271). The LogMAR visual acuity improved in both Groups. Again, there were no statistically significant differences between two groups (p=0.102). Postoperative complications included cataract progression in 20 eyes (80.0%) of Group I, of which 17 eyes (68.0%) had cataract surgery within 1 year after first surgery.

Conclusions:

Phaco-vitrectomy irrespective of severe lens opacity is a relatively effective surgery in patients over the impending presbyopic age with primary rhegmatogenous retinal detachment considering that it allows easy access to periphery during vitreous shaving and prevents second operation related to lens opacity progression.