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document
Primary vitrectomy for combined rhegmatogenous retinal detachment and choroidal detachment with or without oral corticosteroids : a pilot study . PURPOSE The occurrence of choroidal detachment ( CD ) in eyes with primary rhegmatogenous retinal detachment ( RRD ) is relatively uncommon ( 2 % -4.5 % ) . Recent reports suggest that primary vitrectomy yields better anatomic success than scleral buckling . However , for these inflamed eyes with low intraocular pressure , the influence of preoperative oral steroids on reattachment rates has not been elucidated yet . METHODS Twenty eyes with combined RRD and CD that underwent primary vitrectomy were randomized to receive oral steroids ( for 1 week ) or no oral steroids before surgery . RESULTS Preoperative clinical data such as mean age , lens status , Snellen visual acuity , duration of macular detachment , CD ( size and extent ) , and retinal detachment characteristics ( e.g. , extent , number of retinal breaks , atrophic or tractional retinal break , size of retinal break , and location of retinal break ) were similarly distributed in both groups . Single-operation anatomic success was 81.8 % ( 9/11 ) among those patients who received preoperative oral steroids and was 66.7 % ( 6/9 ) among those who did not receive preoperative oral steroids . After reoperation , anatomic success was 100 % in both groups . The mean follow-up was 20.1 months . CONCLUSION The results suggest that administration of oral steroids before primary vitrectomy in eyes with combined RRD and CD improves reattachment rates .
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Intervention_Physical
Primary vitrectomy
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Intervention_Pharmacological
with or without oral corticosteroids
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Intervention_Physical
underwent primary vitrectomy
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Intervention_Surgical
receive oral steroids ( for 1 week ) or no oral steroids before surgery
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Intervention_Pharmacological
steroids
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Intervention_Pharmacological
steroids
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Outcome_Other
Single-operation anatomic success
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Outcome_Other
anatomic success
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Participant_Condition
combined rhegmatogenous retinal detachment and choroidal detachment
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Participant_Condition
oral corticosteroids
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Participant_Condition
low intraocular pressure
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Participant_Sample-size
Twenty
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Participant_Condition
combined RRD and CD
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Participant_Condition
combined RRD and CD