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[A preliminary investigation on causes of failure of vitreoretinal surgery for complicated rhegmatogenic retinal detachments].

S Chen, J Wang, Jen‐Hao Cheng, Rong Xu, H Chen, N Weng, E Zhang, W Liu, Wenbin Wei

Abstract

OBJECTIVE: To evaluate the failure causes of vitreoretinal surgery for complicated rhegmatogenic retinal detachment. METHODS: Vitreoretinal (VR) surgery was performed on 477 cases (479 eyes) with complicated rhegmatogenic retinal detachment, the operative procedures including vitrectomy, peeling of pre-retinal membrane, fluid-air exchange, inert gas (SF(6) or C(3)F(8)) or silicone tamponade. RESULTS: On discharge, the operation was effective in 349 eyes (72.87%) and failed in 130 (27.13%) eyes. CONCLUSION: The multiple stepwise multivariate regression shows that the factors significantly influencing VR surgery are silicone tamponade, giant retinal tears, SF(6) tamponade, iatrogenic tear, anterior proliferative vitreoretinopathy (PVR), subretinal proliferation, PVR, C(3)F(8) tamponade, operative frequency and choroidal detachments.

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Available abstract

Key concepts: Tamponade, Proliferative vitreoretinopathy, Medicine, Vitrectomy, Retinal detachment, Retinal Tear, Ophthalmology, Retinal