Comparison of scleral buckling and vitrectomy using wide angle viewing system for rhegmatogenous retinal detachment in patients older than 35 years

BMC Ophthalmology

Research Article

Han Jo Kwon¹  Ho Yun Kim¹  Boo Sup Oum¹  Sung Who Park²  Ji Eun Lee³  Ik Soo Byon⁴ 

[1] Department of Ophthalmology, Pusan National University Hospital, Pusan, South Korea;Department of Ophthalmology, Pusan National University Hospital, Pusan, South Korea;Biomedical Research Institute, Pusan National University Hospital, Pusan, South Korea;Department of Ophthalmology, Pusan National University Hospital, Pusan, South Korea;Medical Institute, School of Medicine, Pusan National University, Pusan, South Korea;Biomedical Research Institute, Pusan National University Hospital, Pusan, South Korea;Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, South Korea;

关键词: Group Versus;    Macular Hole;    Triamcinolone Acetonide;    Posterior Vitreous Detachment;    Rhegmatogenous Retinal Detachment;   

DOI  :  10.1186/s12886-015-0109-9

 received in 2015-06-18, accepted in 2015-09-04,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundTo compare scleral buckling (SB) and pars plana vitrectomy (PPV) using a wide angle viewing system (WAVS) for uncomplicated phakic rhegmatogenous retinal detachment (RRD).MethodsThe medical records of patients with uncomplicated phakic RRD were retrospectively reviewed. Eyes with pseudophakic or attached fovea were excluded. Patients treated with SB were classified as group B, and PPV using WAVS as group V. Primary success rate, visual acuity (VA), macular complications, and sustained subretinal fluid (SRF) were compared between groups.ResultsSeventy-two eyes were included in group B and 57 eyes in group V. Group B had better preoperative VA (1.38 ± 0.87 vs 1.84 ± 0.97 in LogMAR, P = 0.010), but worse final VA (0.51 ± 0.48 vs 0.30 ± 0.23, P = 0.012) than group V. The primary success rate of 94.7 % in group V was higher than 77.8 % in group B (P = 0.010). Final success rate was 100 % in both groups. There was no significant difference in macular complications between groups (P = 0.087). Sustained SRF was found in 22 eyes in group B (38.6 %), while only two eyes in group V exhibited sustained SRF (2.8 %, P < 0.001).ConclusionsPars plana vitrectomy using WAVS was more efficacious than SB for treating uncomplicated phakic RRD.

【 授权许可】

CC BY   
© Park et al. 2015