Four-port Vitrectomy in Rhegmatogenous Retinal Detachment

Purpose: The study investigated the results of direct surgical scleral depression using four ports and chandelier lighting system in rhegmatogenous retinal detachment.Methods: Anatomical functional success rates complications were analyzed 179 eyes diagnosed with detachment that underwent primary vitrectomy at our hospital between March 2012 February 2022.Results: A total 168 (93.9%) had anatomical without reoperation while 11 (6.1%) developed recurrence. However, final rate was 100%. best-corrected visual acuity improved significantly from logarithm minimum angle resolution (logMAR) 1.03 ± 0.92 to logMAR 0.24 0.39 after surgery (<i>p</i> < 0.001). Complications included a temporary increase intraocular pressure (n = 3, 1.7%), leakage through incision 2, 1.1%), hyphema vitreous hemorrhage 10, 5.6%), iatrogenic break 1, 0.6%), but these treatment.Conclusions: Four-port for which is directly performed useful method. It allows effective visualization peripheral retina regardless assistant’s proficiency more meticulous surgery. this technique similar conventional technique.