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Gennady Landa, Joseph Benevento, Richard B Rosen; Comparison between sutureless belt loops technique versus sutured buckle technique for retinal detachment repair. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1073.
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© ARVO (1962-2015); The Authors (2016-present)
To compare anatomic and visual outcome of sutureless belt loops technique versus sutured buckle technique while utilizing approach combined buckle/vitrectomy for primary rhegmatogenous retinal detachment repair. Methods*
A retrospective, consecutive, interventional, comparative case series study was conducted on patients with primary retinal detachment who underwent scleral buckling (SB) procedure in combination with pars plana vitrectomy (PPV). All surgeries were performed by a single surgeon.
The study included 35 eyes. Eighteen eyes (18 patients) underwent combined PPV and SB suturless belt loops technique (Group A), and 17 eyes (17 patients) underwent combined PPV and SB sutured to sclera technique (Group B). Successful anatomic attachment and good buckle height was achieved in all 35 cases. Average follow-up was 11.2 (± 3.1) months in Group A and 12.7 (± 3.7) months in Group B. There was one case of re-detachment in each group during the follow-up: 1/17 (5.9%) in Group A and 1/18 (5.6%) in Group B (p = 0.97). The mean preoperative logMAR best corrected visual acuity (BCVA) was comparable between the group A (1.39±0.70) and group B (1.48±0.89) groups (P = 0.499). BCVA improved in both groups at final follow-up (0.56±0.49, Group A) and (0.73±0.34, Group B) and was not statistically different between the groups (p = 0.154). No cases of buckle infection, extrusion or intrusion noted during the follow-up.
Sutureless belt loops buckle technique seems to be as safe and effective as sutured buckle technique in combination with vitrectomy for repair of retinal detachment showing similar anatomic and functional outcome.
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