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Pseudophakic rhegmatogenous retinal detachment: combined pars plana vitrectomy and scleral buckle versus pars plana vitrectomy alone

  • Retinal Disorders
  • Published:
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Abstract

Purpose

To compare the outcomes of combined vitrectomy + scleral buckle (SB) and vitrectomy alone for pseudophakic rhegmatogenous retinal detachment (RRD).

Methods

Cases included 65 eyes of 63 patients with primary non-complex pseudophakic RRD. The first group underwent combined vitrectomy + SB between January 2010 and August 2012, and the second group was treated with vitrectomy alone between September 2012 and October 2013. The medical records of the patients were reviewed for preoperative examinations, follow-up examinations (including final visual acuity [VA]), appearance of redetachment and complications. The main outcomes were recurrent retinal detachment, complications, and VA improvement.

Results

The rate of single-surgery anatomic success was non-significantly lower in the combined vitrectomy + SB group compared with the vitrectomy alone group — 75.8 % versus 84.4 % respectively (P = 0.683). Complications were significantly more frequent in the former compared to the latter (P = 0.014). The final VAs were 0.580 (logMAR) and 0.486, respectively (P = 0.258). VA improvement of ≥3 lines was achieved in 48.5 % and in 50 % of the eyes respectively (P = 0.769).

Conclusions

There were no significant differences in single-surgery anatomic success rates and VA improvement between combined vitrectomy + SB and vitrectomy alone for pseudophakic RRD. Significantly more complications occurred in the combination group.

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References

  1. Clark A, Morlet N, Ng JQ et al (2012) Risk for retinal detachment after phacoemulsification: a whole-population study of cataract surgery outcomes. Arch Ophthalmol 130:882–888

    Article  PubMed  Google Scholar 

  2. Bjerrum SS, Mikkelsen KL, La Cour M (2013) Risk of pseudophakic retinal detachment in 202,226 patients using the fellow nonoperated eye as reference. Ophthalmology 120:2573–2579

    Article  PubMed  Google Scholar 

  3. Adelman RA, Parnes AJ, Ducournau D, for the European Vitreo-Retinal Society (EVRS) Retinal Detachment Study Group (2013) Strategy for the management of uncomplicated retinal detachments: the European Vitreo-retinal society retinal detachment study report 1. Ophthalmology 120:1804–1808

    Article  PubMed  Google Scholar 

  4. Lehpamer BP, Carvounis PE (2014) Vitrectomy with and without scleral buckling for retinal detachment repair in pseudophakic patients. Int Ophthalmol Clin 54:79–90

    Article  PubMed  Google Scholar 

  5. Heimann H, Bartz-Schmidt KU, Bornfeld N, Scleral Buckling versus Primary Vitrectomy in Rhegmatogenous Retinal Detachment (SPR) Study Group et al (2007) Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment — a prospective randomized multicenter clinical study. Ophthalmology 114:2142–2154

    Article  PubMed  Google Scholar 

  6. Sun Q, Sun T, Xu Y et al (2012) Primary vitrectomy versus scleral buckling for the treatment of rhegmatogenous retinal detachment: a meta-analysis of randomized controlled clinical trials. Curr Eye Res 37:492–499

    Article  PubMed  Google Scholar 

  7. Sharma YR, Karunanithi S, Azad RV et al (2005) Functional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment. Acta Ophthalmol Scand 83:293–297

    Article  PubMed  Google Scholar 

  8. Brazitikos PD, Androudi S, Christen WG, Stangos NT (2005) Primary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment — a randomized clinical trial. Retina 25:957–964

    Article  PubMed  Google Scholar 

  9. Campo RV, Sipperley JO, Sneed SR et al (1999) Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments. Ophthalmology 106:1811–1816

    Article  CAS  PubMed  Google Scholar 

  10. Mendrinos E, Dang-Burgener NP, Stangos AN et al (2008) Primary vitrectomy without scleral buckling for pseudophakic rhegmatogenous retinal detachment. Am J Ophthalmol 145:1063–1070

    Article  PubMed  Google Scholar 

  11. Speicher MA, Fu AD, Martin JP, von Fricken MA (2000) Primary vitrectomy alone for repair of retinal detachments following cataract surgery. Retina 20:459–464

    Article  CAS  PubMed  Google Scholar 

  12. Schneider EW, Geraets RL, Johnson MW (2012) Pars plana vitrectomy without adjuvant procedures for repair of primary rhegmatogenous retinal detachment. Retina 32:213–219

    Article  PubMed  Google Scholar 

  13. Kinori M, Moisseiev E, Shoshany N et al (2011) Comparison of pars plana vitrectomy with and without scleral buckle for the repair of primary rhegmatogenous retinal detachment. Am J Ophthalmol 152:291–297

    Article  PubMed  Google Scholar 

  14. Mehta S, Blinder KJ, Shah GK, Grand MG (2011) Pars plana vitrectomy versus combined pars plana vitrectomy and scleral buckle for primary repair of rhegmatogenous retinal detachment. Can J Ophthalmol 46:237–241

    Article  PubMed  Google Scholar 

  15. Orlin A, Hewing NJ, Nissen M et al (2014) Pars plana vitrectomy compared with pars plana vitrectomy combined with scleral buckle in the primary management of noncomplex rhegmatogenous retinal detachment. Retina 34:1069–1075

    Article  PubMed  Google Scholar 

  16. Ghoraba HH, El Sayed SH, Said KG et al (2013) Evaluation of rhegmatogenous retinal detachment treatment by pars plana vitrectomy alone versus pars plana vitrectomy with a scleral buckle. Menoufia Med J 26:122–126

    Article  Google Scholar 

  17. Pournaras CJ, Kapetanios AD (2003) Primary vitrectomy for pseudophakic retinal detachment: a prospective non-randomized study. Eur J Ophthalmol 13:298–306

    CAS  PubMed  Google Scholar 

  18. Stangos AN, Petropoulos IK, Brozou CG et al (2004) Pars-plana vitrectomy alone vs vitrectomy with scleral buckling for primary rhegmatogenous pseudophakic retinal detachment. Am J Ophthalmol 138:952–958

    Article  PubMed  Google Scholar 

  19. Weichel ED, Martidis A, Fineman MS et al (2006) Pars plana vitrectomy versus combined pars plana vitrectomy–scleral buckle for primary repair of pseudophakic retinal detachment. Ophthalmology 113:2033–2040

    Article  PubMed  Google Scholar 

  20. Brazitikos PD (2000) The expanding role of primary pars plana vitrectomy in the treatment of rhegmatogenous noncomplicated retinal detachment. Semin Ophthalmol 15:65–77

    Article  CAS  PubMed  Google Scholar 

  21. Koh HJ, Cheng L, Kosobucki B et al (2007) Prophylactic intraoperative 360 degrees laser retinopexy for prevention of retinal detachment. Retina 27:744–749

    Article  PubMed  Google Scholar 

  22. Iwase T, Jo YJ, Oveson BC (2013) Effect of prophylactic 360 laser treatment for prevention of retinal detachment after phacovitrectomy: prophylactic 360 laser treatment for prevention of retinal detachment. BMC Ophthalmol 13:77

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv, Israel

    Rivka Kessner & Adiel Barak

  2. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Rivka Kessner & Adiel Barak

Authors
  1. Rivka Kessner
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  2. Adiel Barak
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Correspondence to Rivka Kessner.

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No funding was received for this research.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest, or non-financial interest in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments.

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For this type of study formal consent is not required.

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Kessner, R., Barak, A. Pseudophakic rhegmatogenous retinal detachment: combined pars plana vitrectomy and scleral buckle versus pars plana vitrectomy alone. Graefes Arch Clin Exp Ophthalmol 254, 2183–2189 (2016). https://doi.org/10.1007/s00417-016-3381-3

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  • DOI: https://doi.org/10.1007/s00417-016-3381-3

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