Primary Vitrectomy for the Treatment of Retinal Detachment in Highly Myopic

Study Overview
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Brief Summary
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Purpose: To assess the functional and anatomical outcome of primary vitrectomy without scleral buckling for rhegmatogenous retinal detachment (RRD) in highly myopic eyes with axial length over 30 mm. Methods Design: Retrospective single center series. Setting: University Hospital. Patients: High myopic patients treated with primary vitrectomy without scleral buckling for a rhegmatogenous retinal detachment. Outcome measures: Anatomical success rate with complete reattachment of the retina without silicone oil tamponade and postoperative best-corrected visual acuity (BCVA).

Conditions
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Intraocular Pressure,, Postoperative Complications

Intervention / Treatment
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* Procedure: Pars plana vitrectomy with gas tamponade


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: retinal detachment secondary to peripheral breaks (retinal tears, atrophic retinal hole) secondary to posterior breaks (MH, PVT). Exclusion Criteria: retinal detachment secondary to severe eye injury, diabetic retinopathy, retinopathy of prematurity, uveitis.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| High myopic eye<br>Persons with high Myopia suffered from Rhegmatogenous Retinal detachment | Procedure: Pars plana vitrectomy with gas tamponade<br>* A standard three-port 20 Gauge vitrectomy under a wide-angle-viewing contact lens was performed. Peripheral vitreous shaving was completed under slit-lamp illumination without contact lens by gentle scleral indentation. Posterior hyaloid detachment was checked and completed if necessary without dye. The epiretinal membrane removal or internal limiting membrane (ILM) peeling was performed if necessary. In general this latter procedure was not conducted for RD secondary to peripheral retinal tears without any sign of PVR or ERM but was done in almost all cases related to posterior break. Subretinal fluid was aspirated through the retinal tear, the MH, the PVT or through a retinotomy to obtain a complete peroperative retinal reattachment.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessing the functional and anatomical outcome of primary vitrectomy in Rhegmatogenous retinal detachment in highly myopic eyes | To assess by visual acuity measurements, fundus ophthalmoscopy and OCT scans the functional and anatomical outcome in patients with higly myopic eyes whom we performed primary vitrectomy without scleral buckling for rhegmatogenous retinal detachment (RRD)in comparison to standard surgical technics wich consist on scleral buckling and pars plana vitrectomy with fluid gas exchange. |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Retinal detachment, high myopia, macular hole, axial length, Scleral buckling, Vitrectomy, Visual acuity, fundus examination results