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Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation--report no. 1.
Ophthalmology. 2005 Aug; 112(8):1421-9.O

Abstract

PURPOSE

To compare the anatomic and visual results and complications of conventional scleral buckling versus primary vitrectomy for management of pseudophakic and aphakic retinal detachment.

DESIGN

Prospective, randomized, multicenter clinical trial.

PARTICIPANTS

Two hundred twenty-five eyes of 225 patients with pseudophakic or aphakic retinal detachment.

INTERVENTION

Eligible eyes were assigned randomly either to conventional scleral buckling or primary vitrectomy without any buckle.

MAIN OUTCOME MEASURES

Visual results, retinal reattachment rate, proliferative vitreoretinopathy, macular pucker, cystoid macular edema, choroidal detachment, intraocular pressure, extraocular muscle dysfunction, and anisometropia.

RESULTS

There were no statistically significant differences between the 2 treatment groups regarding the single-operation retinal reattachment rate at the 1-, 2-, 4-, and 6-month follow-up examinations. Patients in the buckle group had 28% greater likelihood of anatomic success compared with those in the vitrectomy group (odds ratio, 1.28; 95% confidence interval, 0.73-2.24), indicating no statistically significant difference. Proliferative vitreoretinopathy was the main cause of anatomic failure in both groups and occurred independent of the surgical technique used. Best-corrected visual acuity at the 1-, 2-, 4-, and 6-month postoperative follow-up examinations showed no statistically significant difference between the 2 groups. Six months after surgery, 12.8% of eyes in the buckle group and 11.3% of eyes in the vitrectomy group achieved visual acuity of 20/40 or better. The difference between the 2 groups was not statistically significant. Corresponding figures were 66.3% and 64.5% for visual acuity of 20/200 or better in the buckle and vitrectomy groups, respectively, again with no statistically significant difference. There were no statistically significant differences in rates of complications.

CONCLUSIONS

Scleral buckling and primary vitrectomy without an encircling band have comparable results in pseudophakic and aphakic retinal detachment. The choice of surgical technique depends on various factors, including patient compliance, cost of surgery, experience and capability of surgeons, and availability of appropriate instrumentation.

Authors+Show Affiliations

Ophthalmic Research Center, Labbafinejad Medical Center, Tehran, Iran. hahmadieh@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo 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
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15961159

Citation

Ahmadieh, Hamid, et al. "Anatomic and Visual Outcomes of Scleral Buckling Versus Primary Vitrectomy in Pseudophakic and Aphakic Retinal Detachment: Six-month Follow-up Results of a Single Operation--report No. 1." Ophthalmology, vol. 112, no. 8, 2005, pp. 1421-9.
Ahmadieh H, Moradian S, Faghihi H, et al. Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation--report no. 1. Ophthalmology. 2005;112(8):1421-9.
Ahmadieh, H., Moradian, S., Faghihi, H., Parvaresh, M. M., Ghanbari, H., Mehryar, M., Heidari, E., Behboudi, H., Banaee, T., & Golestan, B. (2005). Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation--report no. 1. Ophthalmology, 112(8), 1421-9.
Ahmadieh H, et al. Anatomic and Visual Outcomes of Scleral Buckling Versus Primary Vitrectomy in Pseudophakic and Aphakic Retinal Detachment: Six-month Follow-up Results of a Single Operation--report No. 1. Ophthalmology. 2005;112(8):1421-9. PubMed PMID: 15961159.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation--report no. 1. AU - Ahmadieh,Hamid, AU - Moradian,Siamak, AU - Faghihi,Hooshang, AU - Parvaresh,Mohammad M, AU - Ghanbari,Heshmatollah, AU - Mehryar,Morsal, AU - Heidari,Ebadollah, AU - Behboudi,Hasan, AU - Banaee,Touka, AU - Golestan,Banafsheh, AU - ,, PY - 2004/09/07/received PY - 2005/02/11/accepted PY - 2005/6/18/pubmed PY - 2005/8/17/medline PY - 2005/6/18/entrez SP - 1421 EP - 9 JF - Ophthalmology JO - Ophthalmology VL - 112 IS - 8 N2 - PURPOSE: To compare the anatomic and visual results and complications of conventional scleral buckling versus primary vitrectomy for management of pseudophakic and aphakic retinal detachment. DESIGN: Prospective, randomized, multicenter clinical trial. PARTICIPANTS: Two hundred twenty-five eyes of 225 patients with pseudophakic or aphakic retinal detachment. INTERVENTION: Eligible eyes were assigned randomly either to conventional scleral buckling or primary vitrectomy without any buckle. MAIN OUTCOME MEASURES: Visual results, retinal reattachment rate, proliferative vitreoretinopathy, macular pucker, cystoid macular edema, choroidal detachment, intraocular pressure, extraocular muscle dysfunction, and anisometropia. RESULTS: There were no statistically significant differences between the 2 treatment groups regarding the single-operation retinal reattachment rate at the 1-, 2-, 4-, and 6-month follow-up examinations. Patients in the buckle group had 28% greater likelihood of anatomic success compared with those in the vitrectomy group (odds ratio, 1.28; 95% confidence interval, 0.73-2.24), indicating no statistically significant difference. Proliferative vitreoretinopathy was the main cause of anatomic failure in both groups and occurred independent of the surgical technique used. Best-corrected visual acuity at the 1-, 2-, 4-, and 6-month postoperative follow-up examinations showed no statistically significant difference between the 2 groups. Six months after surgery, 12.8% of eyes in the buckle group and 11.3% of eyes in the vitrectomy group achieved visual acuity of 20/40 or better. The difference between the 2 groups was not statistically significant. Corresponding figures were 66.3% and 64.5% for visual acuity of 20/200 or better in the buckle and vitrectomy groups, respectively, again with no statistically significant difference. There were no statistically significant differences in rates of complications. CONCLUSIONS: Scleral buckling and primary vitrectomy without an encircling band have comparable results in pseudophakic and aphakic retinal detachment. The choice of surgical technique depends on various factors, including patient compliance, cost of surgery, experience and capability of surgeons, and availability of appropriate instrumentation. SN - 1549-4713 UR - https://www.unboundmedicine.com/medline/citation/15961159/Anatomic_and_visual_outcomes_of_scleral_buckling_versus_primary_vitrectomy_in_pseudophakic_and_aphakic_retinal_detachment:_six_month_follow_up_results_of_a_single_operation__report_no__1_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(05)00333-7 DB - PRIME DP - Unbound Medicine ER -