Rivera-Sempértegui JO, Hernández F, Gallegos-Valencia A, Navarro-López P, Ochoa-Contreras D

Language: Spanish
References: 7
Page: 109-111
PDF size: 38.42 Kb.

ABSTRACT

Purpose: To describe our experience with two-port vitrectomy, using binocular ophthalmoscopy as a visualization system, for the management of several vitreoretinal pathologies.
Methods: Retrospective, longitudinal, observational and descriptive study of 234 patients.
Results: Average age was 58 years, and median follow up of 23.6 months. Diagnoses were traction retinal detachment (RD) due to diabetic retinopathy, rhegmatogenous RD, recidivated RD, RD secondary to penetrating ocular wound with foreign body, epiretinal membrane, and others. Average baseline, Best Corrected Visual Acuity (BCVA) was Count Fingers 1 meter.
As tamponade we used silicon oil in 57.5%, SF6 in 4.9% and C3F8 in 4%. Anatomic success with one procedure was obtained in 90.7%. We had recidivated RD in 9.3% of cases with the first procedure. Average final BCVA was Count Fingers 2 meters.
The more frequent postoperative complications were macular fibrosis, papillary atrophy and glaucoma.
Conclusion: Two- port vitrectomy assisted by indirect ophthalmoscopy is a technique that can be used for different vitreoretinal pathologies, as a main visualization instrument and its main disadvantage is a difficult learning curve.

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