The aim of this study was to present our experience with the surgery in RD associated with GRT over ten years in a tertiary referral hospital

The charts of all patients with the diagnosis of RD associated with GRT who underwent surgery from 2005 to 2015 at Rassoul Akram Hospital were reviewed.Exclusion criteria were concomitant presence of diabetic retinopathy, and uveitis. Data extracted were age, sex, duration of symptoms, extent of tear, types of surgery, lens status, proliferative vitreoretinopathy (PVR), involvement of fellow eye, need for additional surgery, anatomic outcome of surgery and pre and postoperative best corrected visual acuity (BCVA). All patients had to have at least 3 months of follow up.

In this retrospective study 62 eyes of 61 patients with GRT were enrolled. Ten patients (16.1%) were female and 51 patients (83.9 %) were male.Fifty of the 63 eyes (80.6%) had a detached macula and 11 eyes (17.7%) had an attached macula. Pars planavitrectomy (PPV) was performed in 44 eye (71.0%) and simultaneous vitrectomy and phaco surgery was performed in 18 eyes (29.0%). An encircling scleral band was placed in 7 eyes (11.3%), all eyes received a silicone oil tamponade.Proliferative vitreoretinopathy was present in 14 (22.6 %) of eyes.Anatomic success after one vitrectomy procedure in this series of 62 eyes was achieved in 45 eyes (72.58%)and utimatley in all eyes (100%) at last follow up. seventeen eyes need rePPV due to re RRD and PVR in follow up period. fourteen eyes need one, two eyes need 2 and one eye need 3 additional PPV.

Contemporary vitreoretinal surgery techniques achieve high rates of primary anatomic success in GRT-related RRDs.