Management of inferior retinal breaks during pars plana vitrectomy for retinal detachment

Abstract

Aims - To determine whether it is necessary to support inferior retinal breaks with a scleral explant during pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RD). Methods - A prospective study was carried out on nine eyes of nine consecutive patients undergoing PPV for primary RD with associated inferior retinal breaks and no significant proliferative vitreoretinopathy. Results - Eight eyes were successfully reattached with a single operation. No cases presented with redetachment because of failed closure of the original inferior breaks. Conclusions - It is not necessary to support inferior retinal breaks with a scleral explant during PPV for primary RD repair in selected cases.