J Korean Ophthalmol Soc.  2008 Feb;49(2):288-292. 10.3341/jkos.2008.49.2.288.

Clinical Results between Scleral Buckling and Vitrectomy in Pseudophakic Retinal Detachment with Intact Posterior Capsule

• Kang IS
• Oh HJ
• Park YG
• Ahn JK

• KMID: 2127121
• DOI: http://doi.org/10.3341/jkos.2008.49.2.288

Abstract

PURPOSE: To compare the clinical outcomes between scleral buckling and vitrectomy in the primary management of pseudophakic retinal detachment with an intact posterior capsule.
METHODS
The medical records of 63 eyes that underwent scleral buckling (36 eyes) or vitrectomy (27 eyes) as a primary operation of uncomplicated pseudophakic retinal detachment with intact posterior capsules with a follow-up of more than one year were retrospectively reviewed from 2000 to 2005. We compared the clinical outcomes using anatomical and functional success rates at postoperative one year. Anatomical success was defined by a reattachment rate and functional success was measured by a change of more than 0.3 logMAR.
RESULTS
Anatomical success rates were 86% in the scleral buckling and 82% in the vitrectomy, respectively (p=0.837). Functional success rates were 81% in the scleral buckling and 70% in the vitrectomy, respectively (p=0.065). There were no significant differences of anatomical and functional success rates according to each surgical procedure.
CONCLUSIONS
Either scleral buckling or vitrectomy may be chosen as a primary operation in the management of pseudophakic retinal detachment with intact posterior capsule.

Keyword

Primary vitrectomy; Pseudophakic retinal detachment; Scleral buckling

MeSH Terms

Capsules
Eye
Follow-Up Studies
Medical Records
Retinal Detachment
Retinaldehyde
Retrospective Studies
Scleral Buckling
Vitrectomy
Capsules
Retinaldehyde

Figure

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  Figure 1. One-year anatomical outcomes after surgical procedures in uncomplicated pseudophakic retinal detachment with intact posterior capsule. SB=scleral buckling; PPV=pars plana vitrectomy.

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  Figure 2. Visual outcomes after surgical procedures in uncomplicated pseudophakic retinal detachment with intact posterior capsule. (A) Scatterplot of preoperative vs. postoperative one-year visual acuity. (B) Comparison between the two surgical methods SB=scleral buckling; PPV=pars plana vitrectomy.

Reference

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