A novel predictor of persistent ocular hypotony after pars plana vitrectomy for rhegmatogenous retinal detachment: The initial intraocular pressure difference between the eye with RRD and the fellow eye

To evaluate the predictive value of initial intraocular pressure difference of the detached and fellow eyes of patients with complex rhegmatogenous retinal detachment on postoperative persistent ocular hypotony. This retrospective observational study included 538 eyes of 538 unilateral complex rhegm...

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Bibliographic Details
Published in:Arquivos brasileiros de oftalmologia 2025-01, Vol.88 (2), p.e20230326-9
Main Authors: Tokuç, Ecem Önder, Karabaş, V Levent, Seyyar, Sevim Ayça, Emengen, Ece Başaran, Güray, Ahmet Burak, Dinçer, Kübra Atay, Önder, Ceren Deniz, Özgür, Emrah Gökay
Format: Article
Language:English
Subjects:
Adult
Aged
Endotamponade
Female
Humans
Intraocular Pressure - physiology
Male
Middle Aged
Ocular Hypotension - etiology
Ocular Hypotension - physiopathology
OPHTHALMOLOGY
Postoperative Complications - etiology
Predictive Value of Tests
Reference Values
Retinal Detachment - surgery
Retrospective Studies
Risk Factors
Silicone Oils
Time Factors
Treatment Outcome
Visual Acuity - physiology
Vitrectomy - adverse effects
Vitrectomy - methods
Vitreoretinopathy, Proliferative - etiology
Vitreoretinopathy, Proliferative - physiopathology
Vitreoretinopathy, Proliferative - surgery
Young Adult
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Summary:To evaluate the predictive value of initial intraocular pressure difference of the detached and fellow eyes of patients with complex rhegmatogenous retinal detachment on postoperative persistent ocular hypotony. This retrospective observational study included 538 eyes of 538 unilateral complex rhegmatogenous retinal detachment patients with a proliferative vitreoretinopathy grade of C-1 or higher, treated with silicone oil endotamponade following pars plana vitrectomy. The patients were divided into Group A (patients having silicone oil removal without ocular hypotony; n=504) and Group B (patients with persistent ocular hypotony following silicone oil removal [n=8, 23.5%] and with retained silicone oil [n=26, 76.5%] due to the risk of persistent ocular hypotony; total n=34). Ocular hypotony was defined as an intraocular pressure of
ISSN:0004-2749
1678-2925
1678-2925
DOI:10.5935/0004-2749.2023-0326