J Korean Ophthalmol Soc.  2010 Mar;51(3):366-371.

Scleral Buckling and Primary Vitrectomy in Simple Rhegmatogenous Retinal Detachment

• Koh TH
• Choi MJ
• Cho SW
• Lee TG
• Lee JH

Abstract

PURPOSE
To compare the outcomes of scleral buckling (SB) and primary pars plana vitrectomy (PPV) for treatment of simple rhegmatogenous retinal detachment (RD).
METHODS
One hundred and fifteen Eyes undergoing SB or PPV for the treatment of simple rhegmatogenous RD were prospectively identified and followed up at least six months. Anatomic results, functional outcomes and complications were compared between eyes treated with SB and eyes treated with PPV.
RESULTS
We detected no significant differences in overall success rates or final vision quality between the two treatment groups. However, the final vision quality of pseudophakic patients treated with PPV was significantly better than the final vision quality of pseudophakic patients treated with SB. Two treatment goups experienced similar rates of intraocular pressure elevation and proliferative vitreoretinopathy development. In phakic patients, the rates of cataract progression were higher in patients treated with PPV than in patients treated with SB.
CONCLUSIONS
PPV can be an effective method for the treatment of simple rhegmatogenous RD, and maybe considered as a viable alternative to SB for simple cases. However, in phakic patients treated with PPV, simultaneous or follow-up cataract surgery should be considered as adjuvant treatments.

Keyword

Retinal detachment; Scleral buckling; Vitrectomy

MeSH Terms

Cataract
Eye
Follow-Up Studies
Humans
Intraocular Pressure
Prospective Studies
Retinal Detachment
Retinaldehyde
Scleral Buckling
Vision, Ocular
Vitrectomy
Vitreoretinopathy, Proliferative
Retinaldehyde

Figure

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  Figure 1. BCVA§ change of macula off patients showed primary success. § BCVA=best corrected visual acuity; * A=foveal reattached group after postoperative 1–2month by OCT (=optical coherence tomography); †B=foveal detached group after postoperative 1–2month by OCT.

Reference

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