Original Research

Outcomes of pars plana vitrectomy for rhegmatogenous retinal detachment at Charlotte Maxeke Johannesburg Academic Hospital in Johannesburg, South Africa

Mathabo Mofokeng, Mokokomadi A. Makgotloe
African Vision and Eye Health | Vol 81, No 1 | a760 | DOI: https://doi.org/10.4102/aveh.v81i1.760 | © 2022 Mathabo Mofokeng, Mokokomadi A. Makgotloe | This work is licensed under CC Attribution 4.0
Submitted: 22 March 2022 | Published: 26 July 2022

About the author(s)

Mathabo Mofokeng, Division of Ophthalmology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Mokokomadi A. Makgotloe, Division of Ophthalmology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa


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Abstract

Background: Pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment is performed as a standard of care in central hospitals in South Africa. Clinical outcomes of such a procedure need to be reported on regularly.

Aim: The aim of this study was to describe the visual acuity and anatomical outcomes of pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment at a central academic hospital in Johannesburg, South Africa.

Setting: Pars plana vitrectomy surgery for rhegmatogenous retinal detachment in a central hospital in South Africa.

Methods: Retrospective case series of patients who had PPV for rhegmatogenous retinal detachment at Charlotte Maxeke Johannesburg Academic Hospital during the 5-year period from 01 January 2010 to 31 December 2014.

Results: Ninety-nine patients with rhegmatogenous detachment, comprising 62% men and 38% women, were included in the study. The mean age (± standard deviation) was 48 (±18.4) years. The most common cause of rhegmatogenous detachment was trauma followed by cataract surgery, accounting for 37% and 21% of all causes, respectively. Sixty-three percent of these detachments involved the macula at the time of presentation, and 58% had proliferative vitreoretinopathy (PVR). Eighty-three eyes (84%) obtained vision improvement or stabilisation and retinal attachment. Forty eyes (40%) had visual acuity improvement, and 43 eyes (43%) retained the same vision. Successful anatomical reattachment of the retina was obtained in 93% (n = 92) of eyes, including those that needed a repeat surgery.

Conclusion: This study found that the majority of patients whose files were reviewed benefited from surgical intervention for rhegmatogenous retinal detachment in terms of stabilisation or improvement of vision.

 


Keywords

retinal detachment; sub-Saharan Africa; rhegmatogenous; black; outcomes

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