Comparison of Outcomes: Scleral Buckling and Pars Plana Vitrectomy Versus Vitrectomy Alone for Primary Repair of Rhegmatogenous Retinal Detachment

Overview

Journal Clin Ophthalmol

Publisher Dove Medical Press

Specialty Ophthalmology

Date 2017 Jan 6

PMID 28053500

Citations 12

Authors

Luke B Lindsell

Robert A Sisk

Daniel M Miller

Robert E Foster

Michael R Petersen

Christopher D Riemann

Robert K Hutchins

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the combination of scleral buckling (SB) and pars plana vitrectomy (PPV) versus PPV alone in the primary repair of rhegmatogenous retinal detachments (RRDs).

Methods: The current study was a retrospective, comparative, interventional, consecutive case series of 179 eyes of 174 patients who underwent primary RRD repair by five surgeons between January 1, 2008 and December 31, 2010, utilizing SB with PPV or PPV. Univariate and multivariate analyses were used to compare the efficacy of the two surgical strategies and assess for risk factors of proliferative vitreoretinopathy (PVR).

Results: Single surgery anatomic success (SSAS) was similar (=0.76) between the PPV group (112 of 132 eyes, 85%) and SB with PPV group (39 of 47 eyes, 83%). Final anatomic success was 100% in each group. There was no difference in rates of PVR formation (PPV 16% vs SB with PPV 19%, =0.70). Final logarithm of the minimum angle of resolution acuity was 0.33 (20/43) in the PPV group and 0.37 (20/47) in the SB with PPV group (=0.62). Postoperative anterior chamber fibrin was highly correlated with PVR formation (PVR 13% vs no PVR 0.7%, =0.003; odds ratio =68.37, =0.007). Separate analysis of medium- to high-complexity cases showed similar SSAS (PPV 86% vs SB with PPV 83%, =0.45).

Conclusion: SB with PPV versus PPV alone were similarly efficacious for repair of primary RRDs of varying complexity. SSAS rates, PVR incidence, and final visual acuities were not significantly different.

Citing Articles

Primary Rhegmatogenous Retinal Detachment Repair by Pars Plana Vitrectomy with and without Scleral Buckling: A Propensity Score Analysis.

Rajsirisongsri P, Patikulsila D, Phinyo P, Kunavisarut P, Chaikitmongkol V, Nanegrungsunk O Clin Ophthalmol. 2024; 18:3913-3923.

PMID: 39734599 PMC: 11680668. DOI: 10.2147/OPTH.S494849.

Vitrectomy versus scleral buckle for retinal detachment without posterior vitreous detachment.

Dimakopoulou I, Mylonas G, Iby J, Sedova A, Hollaus M, Sacu S Sci Rep. 2024; 14(1):17141.

PMID: 39060328 PMC: 11282269. DOI: 10.1038/s41598-024-67318-w.

Comparison of treatment outcomes of 360° intraoperative laser retinopexy and focal laser retinopexy with pars plans vitrectomy in patients with primary rhegmatogenous retinal detachment.

Zheng Y, Schindler P, Druchkiv V, Schulz J, Spitzer S, Skevas C BMC Ophthalmol. 2023; 23(1):73.

PMID: 36809995 PMC: 9942399. DOI: 10.1186/s12886-023-02812-9.

Effect of surgical modality on visual outcomes for young patients with primary rhegmatogenous retinal detachments: a retrospective cohort study.

Duong R, Elghawy O, Nigussie A, Bogaard J, Patrie J, Shildkrot Y BMJ Open Ophthalmol. 2022; 7(1).

PMID: 36161859 PMC: 9289014. DOI: 10.1136/bmjophth-2021-000894.

360-Degree laser retinopexy in primary vitrectomy for rhegmatogenous retinal detachment: factors associated with its use and impact on surgical outcomes.

Peters M, Murray-Douglass A, Park J, Cheng S, Sharma A, Sharma A Int J Retina Vitreous. 2022; 8(1):28.

PMID: 35387685 PMC: 8985359. DOI: 10.1186/s40942-022-00377-1.

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