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Journal of Ophthalmology
Volume 2017 (2017), Article ID 2323897, 22 pages
https://doi.org/10.1155/2017/2323897
Research Article

Key Factors to Improve the Outcome of Retinal Reattachment Surgery in Proliferative Vitreoretinopathy and Proliferative Diabetic Retinopathy

1Vitreoretinal Unit, Department of Ophthalmology, Goethe University, Frankfurt am Main, Germany
2Institute of Biostatistics and Mathematical Modelling, University Hospital, 60590 Frankfurt am Main, Hessen, Germany
3Department of Ophthalmology, Goethe University, Frankfurt am Main, Germany
4VRmagic GmbH, 68167 Mannheim, Baden-Württemberg, Germany

Correspondence should be addressed to Svenja Deuchler; moc.duolci@relhcued.s

Received 17 February 2017; Accepted 7 May 2017; Published 9 July 2017

Academic Editor: Anat Loewenstein

Copyright © 2017 Svenja Deuchler et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. For management of complicated retinal detachments, a pars plana vitrectomy with temporary silicone oil (SO) fill is the method of choice. According to literature, the retinal redetachment rate varies between <10% and >70% with around 36% in our own group (retrospective data analysis, eyes). Methods. The main goal was to reduce the retinal redetachment rate. Standard operating procedures (SOPs) and evaluation protocols (EVALPs) were developed to prospectively analyse risk factors. Lab analysis of SO was performed, and the role of surgical experience was evaluated and investigated with Eyesi®. Results. We achieved a significant reduction of the retinal redetachment rate (to 6.80%, , ). After surgery with SO injection, neither further membrane peeling (in 16.5%) nor retinal laser coagulation (in 100%) during revision surgery had a significant effect on the reattachment rate (, ), while extensive additional laser coagulation reduced visual acuity (). A 3-port approach had to be set up to complete SO removal. A difference in success rate depending on surgical experience was confirmed, and the performance in Eyesi correlated with that in the patients’ eye. Conclusions. A SOP- and EVALP-based management and new strategies to secure the surgical performance seem to be essential for successful surgery.