Vitrectomy with and without scleral buckling for retinal detachment

Abstract

Both surgical procedures had similar reattachment rates. Intra- and postoperative complications were similar considering both procedures. Visual acuity improved significantly in group 2 (vitrectomy without scleral buckling).

Supplemental Scleral Buckle in Vitrectomy for the Repair of Rhegmatogenous Retinal Detachment

“…Majority of the included studies were conducted for eyes without advanced PVR (Grade C or worse), whereas 2 studies were performed on eyes with PVR or high risk of PVR. 14,20 In addition, there was a nonsignificant tendency that phakic patients were not treated with PPV alone (OR, 0.57; 95% CI, 0.31-1.05; P = 0.07). Figure 3 shows the results of meta-analysis for the primary and final reattachment rates by PPV + SB compared with those by PPV alone.…”

“…Table 1 shows the characteristics of the included studies. A study was reported as RCT, 17 whereas 2 11,12 and 7 [13][14][15][16][18][19][20] studies were prospective and retrospective comparative studies, respectively. Follow-up periods ranged from 3 months to approximately a year.…”

“…In one study, 360°endolaser photocoagulation was performed in all eyes of both groups, 15 and all eyes of the PPV alone group in another study. 17 In 3 studies, 13,16,20 360°endolaser photocoagulation was optionally used in the eyes of both groups, and in the rest of the studies, 11,12,14,18,19 its usage was not described. Instillation of silicone oil was performed in all eyes of both groups in 1 study 14 and all eyes of the PPV alone group in another study.…”

“…17 In 3 studies, 13,16,20 360°endolaser photocoagulation was optionally used in the eyes of both groups, and in the rest of the studies, 11,12,14,18,19 its usage was not described. Instillation of silicone oil was performed in all eyes of both groups in 1 study 14 and all eyes of the PPV alone group in another study. 17 Silicone oil was optionally used in the eyes of both groups in 3 studies 12,19,20 and not used in the remaining studies.…”

Pars Plana Vitrectomy Versus Combined Pars Plana Vitrectomy and Scleral Buckle for Repair of Rhegmatogenous Retinal Detachment

“…16 Başka bir çalışmada değişik derecelerde PVR olan hastalarda PPV'ye skleral çökertme eklenmesinin anatomik başarıya katkısının olmadığı, ayrıca sadece PPV yapılan hastalarda daha iyi görsel sonuçlar elde edildiği belirtilmiştir. 17 Bizim çalışmamızda birinci cerrahi sonunda sadece PPV yapılan hastalarda anatomik başarı oranı %87,5, kombine cerrahi yapılanlarda ise %92,6 olarak saptanmıştır. Bu fark istatistiksel olarak anlamlı değildi.…”