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An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment.
Acta Ophthalmol Scand. 2006 Oct; 84(5):606-12.AO

Abstract

PURPOSE

To evaluate the various surgical interventions available for uncomplicated rhegmatogenous retinal detachment.

METHODS

Reports of controlled clinical trials of surgical interventions (pneumatic retinopexy, scleral buckling and vitrectomy) for uncomplicated rhegmatogenous retinal detachment indexed in MEDLINE from 1968 to January 2006 were included. The primary outcomes evaluated included single-operation reattachment rates, multiple reoperation reattachment rates and improvements in visual acuity (VA).

RESULTS

We found five controlled trials (two randomized) comparing the efficacy of pneumatic retinopexy versus scleral buckling. The single-operation reattachment rates were higher for scleral buckling, but the final reattachment rates were similar. We found nine controlled trials (four randomized) evaluating vitrectomy. There were no statistically significant differences between retinal reattachment rates or final visual acuities, except in one randomized and one non-randomized controlled trial in which the VAs were significantly better in the vitrectomy than the scleral buckling group.

CONCLUSIONS

Pneumatic retinopexy is a possible alternative to scleral buckling in the treatment of uncomplicated rhegmatogenous retinal detachment. The rates of missed or new retinal breaks after pneumatic retinopexy, however, are higher than following scleral buckling. The clinical outcomes of vitrectomy for rhegmatogenous retinal detachment compare favourably.

Authors+Show Affiliations

Department of Community, Occupational and Family Medicine, National University of Singapore, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. cofsawsm@nus.edu.sgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16965489

Citation

Saw, Seang-Mei, et al. "An Evidence-based Analysis of Surgical Interventions for Uncomplicated Rhegmatogenous Retinal Detachment." Acta Ophthalmologica Scandinavica, vol. 84, no. 5, 2006, pp. 606-12.
Saw SM, Gazzard G, Wagle AM, et al. An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment. Acta Ophthalmol Scand. 2006;84(5):606-12.
Saw, S. M., Gazzard, G., Wagle, A. M., Lim, J., & Au Eong, K. G. (2006). An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment. Acta Ophthalmologica Scandinavica, 84(5), 606-12.
Saw SM, et al. An Evidence-based Analysis of Surgical Interventions for Uncomplicated Rhegmatogenous Retinal Detachment. Acta Ophthalmol Scand. 2006;84(5):606-12. PubMed PMID: 16965489.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment. AU - Saw,Seang-Mei, AU - Gazzard,Gus, AU - Wagle,Ajeet M, AU - Lim,Jimmy, AU - Au Eong,Kah-Guan, PY - 2006/9/13/pubmed PY - 2006/12/9/medline PY - 2006/9/13/entrez SP - 606 EP - 12 JF - Acta ophthalmologica Scandinavica JO - Acta Ophthalmol Scand VL - 84 IS - 5 N2 - PURPOSE: To evaluate the various surgical interventions available for uncomplicated rhegmatogenous retinal detachment. METHODS: Reports of controlled clinical trials of surgical interventions (pneumatic retinopexy, scleral buckling and vitrectomy) for uncomplicated rhegmatogenous retinal detachment indexed in MEDLINE from 1968 to January 2006 were included. The primary outcomes evaluated included single-operation reattachment rates, multiple reoperation reattachment rates and improvements in visual acuity (VA). RESULTS: We found five controlled trials (two randomized) comparing the efficacy of pneumatic retinopexy versus scleral buckling. The single-operation reattachment rates were higher for scleral buckling, but the final reattachment rates were similar. We found nine controlled trials (four randomized) evaluating vitrectomy. There were no statistically significant differences between retinal reattachment rates or final visual acuities, except in one randomized and one non-randomized controlled trial in which the VAs were significantly better in the vitrectomy than the scleral buckling group. CONCLUSIONS: Pneumatic retinopexy is a possible alternative to scleral buckling in the treatment of uncomplicated rhegmatogenous retinal detachment. The rates of missed or new retinal breaks after pneumatic retinopexy, however, are higher than following scleral buckling. The clinical outcomes of vitrectomy for rhegmatogenous retinal detachment compare favourably. SN - 1395-3907 UR - https://www.unboundmedicine.com/medline/citation/16965489/An_evidence_based_analysis_of_surgical_interventions_for_uncomplicated_rhegmatogenous_retinal_detachment_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1395-3907&date=2006&volume=84&issue=5&spage=606 DB - PRIME DP - Unbound Medicine ER -