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Sung Who Park, Ji Eun E Lee, Ik Soo Byon; Comparison of scleral buckling and vitrectomy using wide angle viewing system for rhegmatogenous retinal detachment. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):5067.
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© ARVO (1962-2015); The Authors (2016-present)
To compare scleral buckling(SB) and pars plana vitrectomy(PPV) using wide angle viewing system(WAVS) for uncomplicated phakic rhegmatogenous retinal detachment(RRD).
The medical records of patients older than 35 years with uncomplicated phakic RRD were reviewed retrospectively. Eyes with pseudophakic or attached fovea were excluded. The treated with SB were classified into group B, and PPV using the WAVS into group V. Primary success rate, visual acuity (VA), macular complications and sustained subretinal fluid(SRF) were compared between two groups.
Results: Seventy-two eyes were included in group B and 57 eyes in the 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 the group V. 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 of macular complication between two groups (p=0.087). Sustained SRF were found in 22 eyes of the group B (38.6%), which were more common than 2 eyes of the group V (2.8%) (p<0.001).
Advanced vitrectomy technology using WAVS is more efficacious than SB in treating the older patients with uncomplicated phakic RRD.
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