Surgical outcome of scleral buckling compared with scleral buckling with vitrectomy for treatment of macula-off retinal detachment.

Abstract

BACKGROUND AND OBJECTIVE:

To compare the surgical outcome of scleral buckling (group 1) versus scleral buckling with pars plana vitrectomy (group 2) for the repair of macula-off rhegmatogenous retinal detachment without proliferative vitreoretinopathy.

PATIENTS AND METHODS:

A retrospective chart review was performed.

RESULTS:

Eighty-three patients were identified in group 1 and 63 patients in group 2. Presenting visual acuity was 4/200 in group 1 and 3/200 in group 2. Median duration of detachment prior to surgery was 5 days in group 1 and 6 days in group 2. There was no statistical difference in best-corrected (P = .59) or most recent (P = .75) visual acuity between groups. Median best-corrected visual acuity was 20/30 and median most recent visual acuity was 20/40 in both groups. Significantly more additional procedures were performed in group 1 than in group 2 (21.7% vs 7.9%, respectively; P = .024). The final reattachment rate was 96.4% in group 1 and 98.4% in group 2. Proliferative vitreoretinopathy developed in 15.7% of patients in group 1 and 4.8% in group 2 (P= .037).

CONCLUSION:

Visual outcome of scleral buckling is similar to scleral buckling with pars plana vitrectomy for the treatment of macula-off rhegmatogenous retinal detachment in patients without proliferative vitreoretinopathy. Patients undergoing scleral buckling only are at an increased risk of developing proliferative vitreoretinopathy and requiring additional procedures.

• Authors: Pouya N Dayani, Kevin J Blinder, Gaurav K Shah, Nancy M Holekamp, Daniel P Joseph, Bradley Wilson, Matthew A Thomas, M Gilbert Grand
• Journal: Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye (Ophthalmic Surg Lasers Imaging) 2009 Nov-Dec Vol. 40 Issue 6 Pg. 539-47 ISSN: 1542-8877 [Print] United States
• PMID: 19928718 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright 2009, SLACK Incorporated.

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Female
• Follow-Up Studies
• Humans
• Macula Lutea
• Male
• Middle Aged
• Retinal Detachment (physiopathology, surgery)
• Retrospective Studies
• Scleral Buckling (methods)
• Time Factors
• Treatment Outcome
• Visual Acuity
• Vitrectomy (methods)
• Young Adult