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:
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Authors | Seang-Mei Saw, Gus Gazzard, Ajeet M Wagle, Jimmy Lim, Kah-Guan Au Eong |
Journal | Acta ophthalmologica Scandinavica
(Acta Ophthalmol Scand)
Vol. 84
Issue 5
Pg. 606-12
(Oct 2006)
ISSN: 1395-3907 [Print] Denmark |
PMID | 16965489
(Publication Type: Journal Article, Review)
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Topics |
- Cryotherapy
(methods)
- Evidence-Based Medicine
- Humans
- Randomized Controlled Trials as Topic
- Recurrence
- Reoperation
- Retinal Detachment
(surgery)
- Scleral Buckling
(methods)
- Treatment Outcome
- Visual Acuity
(physiology)
- Vitrectomy
(methods)
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