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Impact of postoperative positioning on the outcome of pars plana vitrectomy with gas tamponade for primary rhegmatogenous retinal detachment: comparison between supine and prone positioning
Author(s) -
Otsuka Keiko,
Imai Hisanori,
Miki Akiko,
Nakamura Makoto
Publication year - 2018
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.13482
Subject(s) - tamponade , medicine , pars plana , vitrectomy , supine position , retinal detachment , ophthalmology , prone position , intraocular pressure , synechia , surgery , visual acuity , retinal
Purpose To compare the postoperative anatomic success rates and the frequency of complications between prone or supine postoperative positioning after transconjunctival sutureless vitrectomy ( TSV ) for rhegmatogenous retinal detachment ( RRD ). Methods All patients underwent primary 27‐gauge TSV for the treatment of primary RRD . Patients were divided into two groups as follows: group A was patients instructed to keep strict postoperative prone positioning for a minimum of 8 days. Group B was patients instructed to keep the prone positioning on the day of the surgery followed by supine positioning for minimum of 7 days from the day after surgery. Result Sixty‐two eyes were enrolled (group A: 32, group B: 30). There was no significant difference in baseline data between two groups. The initial and final anatomical success rates were 93.8% and 100% in group A and 93.3% and 100% in group B, respectively (p = 1, p = 1, respectively). Posterior synechia of the iris occurred in one eye in group A and in two eyes in group B (p = 0.61). Macular pucker and retinal fold did not occur in either group. Preoperative intraocular pressure ( IOP ; mmHg) was 14.5 ± 2.9 in group A and 14.5 ± 2.6 in group B (p = 0.92). Intraocular pressure (IOP) was not statistically different between the groups during the follow‐up period (p = 0.36, p = 0.07, respectively). Conclusion Supine positioning may be an option as a postoperative positioning after TSV and gas tamponade for the treatment of RRD .