Primary Vitrectomy for the Treatment of Retinal Detachment in Highly Myopic

Purpose:

To assess the functional and anatomical outcome of primary vitrectomy without scleral buckling for rhegmatogenous retinal detachment (RRD) in highly myopic eyes with axial length over 30 mm.

Methods Design: Retrospective single center series. Setting: University Hospital. Patients: High myopic patients treated with primary vitrectomy without scleral buckling for a rhegmatogenous retinal detachment.

Outcome measures: Anatomical success rate with complete reattachment of the retina without silicone oil tamponade and postoperative best-corrected visual acuity (BCVA).

Inclusion Criteria:

• retinal detachment secondary to peripheral breaks (retinal tears, atrophic retinal hole)
• secondary to posterior breaks (MH, PVT).

Exclusion Criteria: retinal detachment secondary to

• severe eye injury,
• diabetic retinopathy,
• retinopathy of prematurity,
• uveitis.