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Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment.
Acta Ophthalmol Scand. 2005 Jun; 83(3):293-7.AO

Abstract

PURPOSE

To conduct a randomized prospective clinical trial to compare primary vitrectomy without scleral buckling versus conventional scleral buckling surgery in pseudophakic primary retinal detachment (PPRD) in terms of anatomic attachment rate, functional outcome and complications.

METHODS

Fifty consecutive eyes of 50 patients with PPRD were randomized into two groups, with 25 patients in each of group 1 (scleral buckling group) and group 2 (pars plana vitrectomy without buckling group) in a hospital setting and followed up at 1 week, 2 weeks, 6 weeks and 6 months.

RESULTS

A primary reattachment rate of 76% (19 retinas) was obtained in group 1, while a reattachment rate of 84% (21 retinas) was achieved in group 2. The final anatomic reattachment rate was 100% in both groups. The causes of failure in group 1 were proliferative vitreoretinopathy in five eyes and open break/missed break in one eye. The causes of failure in group 2 were missed break/open break in three eyes and proliferative vitreoretinopathy in one eye. Best corrected visual acuity (BCVA) at 2 weeks was better in group 1, while the final BCVA at end of 6 months was two lines better in group 2. The mean change in refractive error was -- 1.38 D in group 1 and -- 0.85 D in group 2.

CONCLUSIONS

Pars plana vitrectomy without buckling provides an effective treatment for PPRD and results in better longterm visual and anatomic outcomes than conventional scleral buckling.

Authors+Show Affiliations

Vitreo-Retina Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

15948779

Citation

Sharma, Yog Raj, et al. "Functional and Anatomic Outcome of Scleral Buckling Versus Primary Vitrectomy in Pseudophakic Retinal Detachment." Acta Ophthalmologica Scandinavica, vol. 83, no. 3, 2005, pp. 293-7.
Sharma YR, Karunanithi S, Azad RV, et al. Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment. Acta Ophthalmol Scand. 2005;83(3):293-7.
Sharma, Y. R., Karunanithi, S., Azad, R. V., Vohra, R., Pal, N., Singh, D. V., & Chandra, P. (2005). Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment. Acta Ophthalmologica Scandinavica, 83(3), 293-7.
Sharma YR, et al. Functional and Anatomic Outcome of Scleral Buckling Versus Primary Vitrectomy in Pseudophakic Retinal Detachment. Acta Ophthalmol Scand. 2005;83(3):293-7. PubMed PMID: 15948779.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment. AU - Sharma,Yog Raj, AU - Karunanithi,Sathiyan, AU - Azad,Raj Vardhan, AU - Vohra,Rajpal, AU - Pal,Nikhil, AU - Singh,Deependra Vikram, AU - Chandra,Parijat, PY - 2005/6/14/pubmed PY - 2005/7/12/medline PY - 2005/6/14/entrez SP - 293 EP - 7 JF - Acta ophthalmologica Scandinavica JO - Acta Ophthalmol Scand VL - 83 IS - 3 N2 - PURPOSE: To conduct a randomized prospective clinical trial to compare primary vitrectomy without scleral buckling versus conventional scleral buckling surgery in pseudophakic primary retinal detachment (PPRD) in terms of anatomic attachment rate, functional outcome and complications. METHODS: Fifty consecutive eyes of 50 patients with PPRD were randomized into two groups, with 25 patients in each of group 1 (scleral buckling group) and group 2 (pars plana vitrectomy without buckling group) in a hospital setting and followed up at 1 week, 2 weeks, 6 weeks and 6 months. RESULTS: A primary reattachment rate of 76% (19 retinas) was obtained in group 1, while a reattachment rate of 84% (21 retinas) was achieved in group 2. The final anatomic reattachment rate was 100% in both groups. The causes of failure in group 1 were proliferative vitreoretinopathy in five eyes and open break/missed break in one eye. The causes of failure in group 2 were missed break/open break in three eyes and proliferative vitreoretinopathy in one eye. Best corrected visual acuity (BCVA) at 2 weeks was better in group 1, while the final BCVA at end of 6 months was two lines better in group 2. The mean change in refractive error was -- 1.38 D in group 1 and -- 0.85 D in group 2. CONCLUSIONS: Pars plana vitrectomy without buckling provides an effective treatment for PPRD and results in better longterm visual and anatomic outcomes than conventional scleral buckling. SN - 1395-3907 UR - https://www.unboundmedicine.com/medline/citation/15948779/Functional_and_anatomic_outcome_of_scleral_buckling_versus_primary_vitrectomy_in_pseudophakic_retinal_detachment_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1395-3907&date=2005&volume=83&issue=3&spage=293 DB - PRIME DP - Unbound Medicine ER -