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Journal of Ophthalmology
Volume 2017 (2017), Article ID 2565249, 7 pages
https://doi.org/10.1155/2017/2565249
Clinical Study

Anatomical and Functional Results Following 23-Gauge Primary Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment: Superior versus Inferior Breaks

12nd Department of Ophthalmology, University of Athens Medical School, Attikon University General Hospital, Athens, Greece
2Ophthalmica Clinic, Thessaloniki, Greece
3Ophthalmology Department, 401 Military Hospital, Athens, Greece

Correspondence should be addressed to Panagiotis Theodossiadis; rg.latipsohnokitta@ikigolomlahtfob

Received 15 November 2016; Revised 24 January 2017; Accepted 1 February 2017; Published 4 June 2017

Academic Editor: Tamer A. Macky

Copyright © 2017 Panagiotis Stavrakas 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

Purpose. In this retrospective study, we evaluated the anatomical and functional outcomes of patients with rhegmatogenous retinal detachment primarily treated with pars plana vitrectomy in regard to the location of the breaks. Methods. 160 eyes were enrolled in this study, divided into two groups based on break location: the superior break group (115 eyes) and the inferior break group (45 eyes). The main endpoint of our study was the anatomical success at 3 months following surgery. Results. Primary retinal reattachment was achieved in 96.5% of patients in group A and in 93.3% in group B (no statistically significant difference, OR 1.98, 95% CI: 0.4, 7.7). Mean BCVA change and intraoperative complication rate were also not statistically significantly different between the two groups (, OR: 1.0, 95% CI: 0.9, 1.01, resp.). Statistical analyses showed that macula status, age, and preoperative BCVA had a significant effect on mean BCVA change (, , and , resp.). Conclusion. This study supports that acceptable reattachment rates can be achieved using PPV for uncomplicated RRD irrespective of the breaks location and inferior breaks do not constitute an independent risk factor for worse anatomical or functional outcome.