A method to decrease the frequency of unintentional slippage after vitrectomy for rhegmatogenous retinal detachment

Retina. 2015 Apr;35(4):758-63. doi: 10.1097/IAE.0000000000000383.


Purpose: To investigate a method for preventing retinal slippage after standard vitrectomy for rhegmatogenous retinal detachment.

Methods: Eighty six eyes with bullous rhegmatogenous retinal detachment underwent successful standard vitrectomy. Patients were divided into 2 groups. In Group 1, 44 patients started face-down positioning at approximately 10 minutes after the end of the surgery. In Group 2, 42 patients started face-down positioning immediately at the end of the surgery. Postoperative retinal slippage was determined by fundus autofluorescence at 1 month postoperatively. Statistical analysis examined several factors to determine the association between the start time of the face-down positioning and retinal slippage.

Results: Retinal slippage occurred in 63.6% of Group 1 and in 24.0% of Group 2 patients. This difference was statistically significant (P = 0.004, Fisher's exact probability test). Both the extent of retinal slippage (P = 0.029) and the face-down position (P < 0.001) were significantly associated with the retinal slippage.

Conclusion: Earlier implementation of face-down positioning may prevent retinal slippage after surgery in eyes with rhegmatogenous retinal detachment treated by standard vitrectomy.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Endotamponade
  • Female
  • Fluorescein Angiography
  • Fluorocarbons / administration & dosage
  • Humans
  • Male
  • Middle Aged
  • Optical Imaging
  • Postoperative Complications / prevention & control*
  • Prone Position*
  • Recurrence
  • Retinal Detachment / diagnosis
  • Retinal Detachment / prevention & control
  • Retinal Detachment / surgery*
  • Sulfur Hexafluoride / administration & dosage
  • Vitrectomy / methods*


  • Fluorocarbons
  • Sulfur Hexafluoride