Evaluation of vitrectomy combined with tamponade on complex retinal detachment

Objective To assess the effectiveness of vitrectomy combined with tamponade on complex retinal detachment and to analyse the incidence of complications. Methods A retrospective analysis of medical records of 29 cases of complex retinal detachment underwent vitrectomy with tamponade was performed. Results 12 eyes underwent vitrectomy with inert-gas tamponade, 8(67.67%) eyes achieved retinal reattachment primarily. 20 eyes ( including 3 eyes failed in inert-gas tamponing) underwent vitrectomy with silicon-oil tamponade, 13(65.00%)eyes achieved retinal reattachment primarily. The comparison between two groups has no significant difference. 21 eyes(72.41%) obtained higher visual acuity post-operatively. The main complications were recurrent retinal detachment, complicated cataract, secondary glaucoma and et al. Conclusion Vitrectomy combined with tamponade is a useful procedure for complex retinal detachment. PVR is still the major cause of recurrent retinal detachment post-operatively.