Research Article

Retinal Tacks for Complicated Retinal Detachment: Retinal Tacks in the Times of Modern Small-Gauge Vitrectomy

Table 1

Patients’ surgery data.

Gender (n)
(i) Male6 (42%)
(ii) Female8 (58%)
Age (years)64.6 (range 10–84)

Eye
(i) R10 (71%)
(ii) L4 (29%)
Follow-up (weeks)74 (range 4–180)

Visual acuity (logMAR)
(i) Preoperative1.60 (range 2.7–0.4)
(ii) At the end of follow-up1.56 (range 2.7–0.4)
(iii) Improvement6 (46%)
(iv) Worsening5 (39%)
(v) Unchanged2 (14%)

Lens status (n)
(i) Phakia2 (14%)
(ii) Pseudophakia11 (79%)
(iii) Aphakia1 (7%)
Prior vitrectomies (n)1.3 (range 0–3, mode 2)

PVR grade (n)
(i) C a + p7 (50%)
(ii) C p7 (50%)

Macular involvement (n)
(i) On3 (21%)
(ii) Off11 (79%)

Involved retinal quadrants (n)3,4 (range 2–4, mode 2)
Indication for RT (n)
(i) Fixing the edge of relaxing retinectomy due to retina stiffness or traction8 (57%)
(ii) Fixing the edge of relaxing retinectomy with traction due to not removable PVR5 (36%)
(iii) Unfolding giant tear border with traction1 (7%)

Placed RT (n)2.5 (range 1–4, mode 2)
Encircling band before implantation of RT (n)5 (36%)
Retinectomy (n)
(i) 180°9 (64%)
(ii) >180°2 (14%)
(iii) 360°2 (14%)
(iv) Not specified1 (7%)

Use of PFCL (n)13 (93%)
Silicone oil removal (n)5 (36%)
(i) Time after surgery (weeks)54 (range 31–75)
Fibrous reaction at RT (n)8 (80%)
Fibrous reaction along retinectomy borders (n)5 (71%)
Patients with complications after surgery with RT (n)12 (86%)
Recurring retinal detachment (n)1 (7%)
Patients undergoing further surgical intervention after surgery with RT (n)11 (79%)
Following interventions (mean, % of patients)
(i) Overall1.28 (range 0–6, mode 1), 43%
(ii) Vitreoretinal surgery0.36 (range 0–3, mode 1), 21%

No significant improvement of the visual acuity (). Silicon oil removal is not included. RT = retinal tacks.