Primary Retinal Detachment Outcomes Study: Pseudophakic Retinal Detachment Outcomes

Phenotype and Outcomes of Phakic Versus Pseudophakic Primary Rhegmatogenous Retinal Detachments: Cataract or Cataract Surgery Related?

“…A large retrospective study published this year demonstrated a higher single surgery success rate with combined surgery. 32 Conversely, a large multicenter randomised trial reported no additional benefit of combined surgery in either pseudophakic or phakic RD including those with inferior retinal breaks. 33,34 The anatomical success rate in pseudophakic RD cases was 85%, similar compared with phakic RD (88%), despite many of the clinical findings of the pseudophakic RD group having been previously identified as risk factors for primary anatomical failure.…”

Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks

“…Retinal detachments with inferior breaks jeopardize single surgery success rates due to the potential for incomplete tamponade and higher risk of PVR. [1][2][3][6][7][8] The recent PRO study (report number 9) comparing anatomical success in eyes of patients with primary RD and a single inferior break found a significant advantage for PPV/SB (with an encircling band) (87.4%) vs PPV alone (76.8%) at 1-year follow-up. 6 Other recent studies, with different tamponade agents and lower than average success rates, have reported comparable outcomes with PPV vs PPV/SB alone.…”

“…6 Other recent studies, with different tamponade agents and lower than average success rates, have reported comparable outcomes with PPV vs PPV/SB alone. [6][7][8]14,15 Perhaps, the main caveat inherent to any retinal detachment study is the presence of variables which cannot always be well-accounted for which significantly Figure 1 The location of the inferior-most break is marked externally using a scleral depressor marker under direct visualization (A). A partial inferior peritomy around the inferior rectus muscle is then performed and a single 2-0 silk tie is used to isolate an inferior rectus muscle with or without a horizontal muscle based on the location of the break(s) (B).…”

“…[1][2][3][4][5][6] The Single surgery success rate of combined PPV/SB has been reported to be significantly higher in eyes with inferior breaks compared to PPV alone in phakic or pseudophakic eyes in recent large cohort studies. 1,6,7 Nevertheless, several studies have demonstrated comparable outcomes in these cases with PPV alone, especially in pseudophakic eyes, while avoiding the potential complications associated with the presence of an encircling band. 6,8 Many variations of scleral buckling with or without PPV have been described in the literature.…”

Comment on: Localized versus 360° intraoperative laser retinopexy in cases of rhegmatogenous retinal detachment with mild-to-moderate grade proliferative vitreoretinopathy

“…For future superiority prospective trials, we believe that the study assumption must be that SSAS rates in the 360°I LR group would have a raw treatment effect in the range of 8-10%. We base this estimate on the results of the phakic [4] and pseudophakic [5] PRO studies that reported an 8% higher SSAS rate with combined PPV/scleral buckling compared to PPV alone. We believe that such an assumption is more adequate than the one used by Loiudice et al, since it is based on real-world evidence on the additional benefits that can be obtained with combined PPV procedures.…”