Hudson Nakamura
Scientific Tracks Abstracts: J Clin Exp Ophthalmol
Background & Objective: Pseudophakic and aphakic retinal detachments are associated with a lower percentage of successful primary repairs with standard scleral buckling surgery than phakic retinal detachments. The objective of this study was to determine whether a combined scleral buckle and vitrectomy as a primary procedure offers any advantage over conventional scleral buckling in primary pseudophakic and aphakic retinal detachments without proliferative vitreoretinopathy. Materials & Methods: This was a prospective, non-randomized clinical study. Ninety-four consecutive pseudophakic and aphakic retinal detachments were included in the study. All patients were operated upon by the same surgeon. Each patient underwent a combined scleral buckle and pars plana vitrectomy with perfluorocarbon injection and air-fluid exchange. Each patient was followed by the operating surgeon for a minimum of 6 months. Patients were followed with respect to anatomic reattachment, visual acuity improvement and surgical complications. Results: All eyes were anatomically reattached after a single operation. All demonstrated an increase in their visual acuity and there were no complications attributable to the vitrectomy procedure. Conclusions: We conclude that such a combined approach to primary pseudophakic and aphakic retinal detachments offers significant benefits to scleral buckling alone. We believe that the improved success rate is a function of vitrectomy contributing to both an improved peripheral visibility, resulting in fewer missed peripheral breaks and a lower likelihood of proliferative vitreoretinopathy. We recommend this combined surgical approach for all primary pseudophakic and aphakic retinal detachments.
Hudson Nakamura is a Medical Specialist in Ophthalmology and specialized in Retina and Vitreous. He completed his study from School of Medicine at the Federal University of Goiás â?? UFG and Residency from the Base Hospital of the Federal District - BrasÃlia - DF. Presently, member of American Academy of Ophthalmology, Brazilian Council of Ophthalmology, Canadian Society of Ophthalmology and also the member of most prestigious society ARVO - The Association for Research in Vision and Ophthalmology United States. He working as a Professor in Department of Retina and Vitreous Course of Medical Residency in Ophthalmology at the Bank of Goias Eye Foundation. He also working as Specialist in vitreoretinal disease Fellowship - University of Toronto Canada, Specialist in Ophthalmology - University of Toronto Canada, Specialist in vitreoretinal disease Fellowship - Brazilian Center for Eye Surgery.
