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Pars-plana vitrectomy alone vs vitrectomy with scleral buckling for primary rhegmatogenous pseudophakic retinal detachment.
Am J Ophthalmol. 2004 Dec; 138(6):952-8.AJ

Abstract

PURPOSE

To compare primary pars-plana vitrectomy (PPV) alone vs vitrectomy with an encircling scleral buckling procedure for the treatment of primary rhegmatogenous pseudophakic retinal detachment (PsRD).

DESIGN

Prospective, nonrandomized, comparative study.

METHODS

All 71 eyes of 68 consecutive patients with PsRD presented to our service between 1998 and 2002 were offered either vitrectomy alone (group-A) or vitrectomy in combination with encircling scleral buckling procedure (group-B). Preoperative and postoperative patient characteristics were recorded in detail. Main outcome measures were reattachment with a single surgery, visual acuity, and reattachment surgery-related complications.

RESULTS

Retina reattachment with a single surgery was achieved in 97.78% in group A and 92.31% in group B. Visual acuity improved by 3 or more lines in 60% in group A and 69% in group B. Mean postoperative refractive error change (spherical) was -0.05 diopters in group A and -1.43 diopters in group B. Postoperative intraocular pressure on long-term follow-up was elevated in 4.44% (group A) and 34.61% (group B). Average follow-up was 12.45 months (+/-5.23 SD) ranging from 9 to 40 months. We detected additional breaks intraoperatively in 54.9% of cases (both groups).

CONCLUSIONS

Vitrectomy is an effective initial treatment for PsRD, whereas the benefit of an additional encircling buckling procedure is questionable.

Authors+Show Affiliations

Division of Ophthalmology, Department of Clinical Neurosciences, University Hospitals of Geneva, Geneva, Switzerland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

15629285

Citation

Stangos, Alexandros N., et al. "Pars-plana Vitrectomy Alone Vs Vitrectomy With Scleral Buckling for Primary Rhegmatogenous Pseudophakic Retinal Detachment." American Journal of Ophthalmology, vol. 138, no. 6, 2004, pp. 952-8.
Stangos AN, Petropoulos IK, Brozou CG, et al. Pars-plana vitrectomy alone vs vitrectomy with scleral buckling for primary rhegmatogenous pseudophakic retinal detachment. Am J Ophthalmol. 2004;138(6):952-8.
Stangos, A. N., Petropoulos, I. K., Brozou, C. G., Kapetanios, A. D., Whatham, A., & Pournaras, C. J. (2004). Pars-plana vitrectomy alone vs vitrectomy with scleral buckling for primary rhegmatogenous pseudophakic retinal detachment. American Journal of Ophthalmology, 138(6), 952-8.
Stangos AN, et al. Pars-plana Vitrectomy Alone Vs Vitrectomy With Scleral Buckling for Primary Rhegmatogenous Pseudophakic Retinal Detachment. Am J Ophthalmol. 2004;138(6):952-8. PubMed PMID: 15629285.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pars-plana vitrectomy alone vs vitrectomy with scleral buckling for primary rhegmatogenous pseudophakic retinal detachment. AU - Stangos,Alexandros N, AU - Petropoulos,Ioannis K, AU - Brozou,Catherine G, AU - Kapetanios,Anastasios D, AU - Whatham,Andrew, AU - Pournaras,Constantin J, PY - 2004/06/29/accepted PY - 2005/1/5/pubmed PY - 2005/1/19/medline PY - 2005/1/5/entrez SP - 952 EP - 8 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 138 IS - 6 N2 - PURPOSE: To compare primary pars-plana vitrectomy (PPV) alone vs vitrectomy with an encircling scleral buckling procedure for the treatment of primary rhegmatogenous pseudophakic retinal detachment (PsRD). DESIGN: Prospective, nonrandomized, comparative study. METHODS: All 71 eyes of 68 consecutive patients with PsRD presented to our service between 1998 and 2002 were offered either vitrectomy alone (group-A) or vitrectomy in combination with encircling scleral buckling procedure (group-B). Preoperative and postoperative patient characteristics were recorded in detail. Main outcome measures were reattachment with a single surgery, visual acuity, and reattachment surgery-related complications. RESULTS: Retina reattachment with a single surgery was achieved in 97.78% in group A and 92.31% in group B. Visual acuity improved by 3 or more lines in 60% in group A and 69% in group B. Mean postoperative refractive error change (spherical) was -0.05 diopters in group A and -1.43 diopters in group B. Postoperative intraocular pressure on long-term follow-up was elevated in 4.44% (group A) and 34.61% (group B). Average follow-up was 12.45 months (+/-5.23 SD) ranging from 9 to 40 months. We detected additional breaks intraoperatively in 54.9% of cases (both groups). CONCLUSIONS: Vitrectomy is an effective initial treatment for PsRD, whereas the benefit of an additional encircling buckling procedure is questionable. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/15629285/Pars_plana_vitrectomy_alone_vs_vitrectomy_with_scleral_buckling_for_primary_rhegmatogenous_pseudophakic_retinal_detachment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(04)00836-0 DB - PRIME DP - Unbound Medicine ER -