Success rate of vitrectomy in rhegmatogenous retinal detachment with choroidal detachment with perioperative oral steroids after the complete settlement of choroidal detachment: Our experience

Abstract

Purpose: The purpose of this study is to study the anatomic and functional success of pars plana vitrectomy (PPV) in rhegmatogenous retinal detachments (RRD) with choroidal detachment (CD) after the complete settlement of CD following oral steroids. Materials and Methods: A prospective, observational, case series was conducted on 30 eyes of 30 patients with RRD with CD during January 2014–October 2017. Oral steroids (tablet omnacortil in dose of 1 mg/kg) were started before surgery, and the patient underwent PPV after choroidals was settled (approximately 5–7 days after starting oral steroids). Primary and final anatomical success rates and functional success rates were obtained. The exclusion criteria included previous retinal detachments surgery, combined RRD, and traumatic RRD. Results: Primary success was 53.3% (16/30) Final success was observed in 80% cases. Sixty percent of patients achieved best-corrected visual acuity of >20/200. Conclusion: The perioperative use of oral steroids help in increasing the success rate by reducing hypotony and reducing inflammatory component.

Keywords

• choroidal detachment
• oral steroids
• rhegmatogenous retinal detachment