The Curative Effects of Primary Vitrectomy in treatment of Rhegmatogenous Reinal Detachment associated with Choroidal Detachment

Objective To evaluate the curative effects of primary vitrectomy in treating the patients with rhegmatogenous retinal detachment associated with choroidal detachment but without obvious PVR. Methods 32 cases (32 eyes) of rhegmatogenous retinal detachment associated with choroidal detachment with proliferative vitreoretinopathy less than grade C1 were included. They were treated with steroids followed by pars plana vitrectomy as soon as possible. In the operation, drain the subretinal fluid through the vitrectomy sclerotomies. Postoperative tamponade was done by silicone oil or dilatable gas. Encircling scleral buckle placed in some cases when they were needed. All cases were followed up for at least 3 months. Results 17 cases with macular hole, 27 cases without PVD, retinal reattachment was attained in 28 eyes, of other 2 cases were achieved by two or three surgeries, and the remainder 2 cases failed. Conclusion Primary vitrectomy in treating cases with rhegmatogenous retinal detachment associated with choroidal detachment with proliferative vitreoretinopathy less than grade Cl could increase the rate of retinal reattachment, and decrease the occurrence of PVR after surgeries.