View 2: The case for primary vitrectomy

doi:10.1136/bjo.87.6.784

Cited by 48 publications

(11 citation statements)

References 29 publications

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“…However, PPV is growing in popularity as a first-line procedure for primary RD, especially in pseudophakic patients (Lois and Wong 2003, SPR Study Group 2003). PPV has several advantages over SB (Table 1).…”

Section: Theoretical Considerationsmentioning

confidence: 99%

“… Abbreviations: PPV/SB, combined pars plana vitrectomy/scleral buckling; PVR, proliferative vitreoretinopathy.Adapted from SPR Study Group (2003) and Schwartz and Flynn (2006).…”

Section: Figurementioning

confidence: 99%

“…“Most” patients also underwent SB, but some were PPV only.Adapted from SPR Study Group (2003) and Schwartz and Flynn (2006).…”

Section: Figurementioning

confidence: 99%

“…Laser demarcation (Vrabec and Baumal 2000) and observation (Brod et al 1995) may be considered in rare circumstances. PPV (Figure 2) is growing in popularity for the treatment of primary RD (SPR Study Group 2003). The current manuscript will review the published literature on the topic and offer guidelines based on the evidence available today.…”

Section: Introductionmentioning

confidence: 99%

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Pars plana vitrectomy for primary rhegmatogenous retinal detachment

Schwartz¹

2008

OPTH

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Pars plana vitrectomy (PPV) is growing in popularity for the treatment of primary rhegmatogenous retinal detachment (RD). PPV achieves favorable anatomic and visual outcomes in a wide variety of patients, especially in pseudophakic RD. A growing number of clinical series, both retrospective and prospective, have demonstrated generally comparable outcomes comparing PPV and scleral buckling (SB) under a variety of circumstances. The Scleral Buckling Versus Primary Vitrectomy in Rhegmatogenous Retinal Detachment (SPR) study is a multicenter, randomized, prospective, controlled clinical trial comparing SB versus PPV. This study should provide useful guidelines in the future. At this time, the choice of SB versus PPV should be based on the characteristics of the RD, the patient as a whole, and the experience and preference of the individual retinal surgeon.

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Section: Theoretical Considerationsmentioning

confidence: 99%

“… Abbreviations: PPV/SB, combined pars plana vitrectomy/scleral buckling; PVR, proliferative vitreoretinopathy.Adapted from SPR Study Group (2003) and Schwartz and Flynn (2006).…”

Section: Figurementioning

confidence: 99%

“…“Most” patients also underwent SB, but some were PPV only.Adapted from SPR Study Group (2003) and Schwartz and Flynn (2006).…”

Section: Figurementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pars plana vitrectomy for primary rhegmatogenous retinal detachment

Schwartz¹

2008

OPTH

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“…Mehta et al [4] showed that the addition of the SB to PPV may decrease a risk for redetachment after repair of phakic RRD when compared to PPV alone. In pseudophakic patients, combined PPV and scleral buckling showed a trend toward achieving greater anatomic success rates [5, 6]. Alexander et al [7] found that supplementary scleral buckling improved and enhanced primary success rates in inferior break detachments over vitrectomy and gas without buckling.…”

Section: Introductionmentioning

confidence: 99%

Sutureless Belt Loops versus Sutured Buckle Technique in Combination with Vitrectomy for Retinal Detachment Repair: A Comparative Analysis

2018

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Objective: To compare the anatomic and visual outcomes in primary rhegmatogenous retinal detachment repair involving combined pars plana vitrectomy (PPV)/scleral buckle (SB) using a sutureless belt loops technique versus a conventional sutured buckle technique. Methods: This is a retrospective, consecutive, interventional, comparative case series study using patients treated for primary retinal detachment who underwent the SB procedure in combination with PPV. Details regarding anatomic and visual outcome were analyzed. Results: Thirty-five eyes were included in this study: 18 eyes (18 patients) treated with combined PPV and SB performed using a sutureless belt loops technique (group A) and 17 eyes (17 patients) treated with combined PPV and SB sutured to the sclera (group B). Successful anatomic attachment and appropriate buckle height were achieved in all 35 cases. There was 1 case of redetachment in each group during the follow-up: 1/17 (5.9%) in group A and 1/18 (5.6%) in group B (p = 0.97). No cases of buckle infection, extrusion, or intrusion were noted during the follow-up period. Conclusion: SBs installed using a belt loops sutureless technique appear to be as safe and effective as those applied using conventional suturing for repair of retinal detachment, with similar anatomic and functional outcomes.

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Management of Inferior Breaks in Pseudophakic Rhegmatogenous Retinal Detachment With Pars Plana Vitrectomy and Air

Martínez-Castillo

Verdugo²,

Boixadera³

et al. 2005

Arch Ophthalmol

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To determine the role of pars plana vitrectomy without scleral buckling and air as a tamponade with 24 hours of prone positioning in the management of inferior breaks in primary pseudophakic rhegmatogenous retinal detachment. Methods: Prospective, noncomparative, interventional case series. Fifteen consecutive eyes (15 patients) with primary pseudophakic rhegmatogenous retinal detachment with causative breaks located between the 4-o'clock and 8-o'clock positions underwent pars plana vitrectomy with air tamponade. The prone position was maintained for 24 hours. Anatomic and functional results are presented. Results: The anatomic reattachment rate was 93.3% after 1 procedure and 100% at the 6-month visit. Mean preoperative best-corrected visual acuity was 20/60 (range, 20/400 to 20/25) and mean postoperative bestcorrected visual acuity was 20/30 (range, 20/100 to 20/20). In 1 case the retina redetached at the second week because of an undetected break. Postoperative epiretinal membrane was observed in 1 case. Conclusion: Pars plana vitrectomy and air tamponade with only 24 hours of prone positioning postoperatively is effective in the management of primary pseudophakic rhegmatogenous retinal detachment with causative breaks between the 4-o'clock and 8-o'clock positions.

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View 2: The case for primary vitrectomy

Cited by 48 publications

References 29 publications

Pars plana vitrectomy for primary rhegmatogenous retinal detachment

Pars plana vitrectomy for primary rhegmatogenous retinal detachment

Sutureless Belt Loops versus Sutured Buckle Technique in Combination with Vitrectomy for Retinal Detachment Repair: A Comparative Analysis

Management of Inferior Breaks in Pseudophakic Rhegmatogenous Retinal Detachment With Pars Plana Vitrectomy and Air

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