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Y. Ishida, A. Minamoto, H. Tanimura, K. Yamane, S. Katakura, H.K. Mishima; Comparison of Scleral Buckling and Vitrectomy for Repair of Rhegmatogenous Retinal Detachment . Invest. Ophthalmol. Vis. Sci. 2004;45(13):2039.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To compare surgical and visual outcomes of scleral buckling (SB) and pars plana vitrectomy (PPV) for the repair of rhegmatogenous retinal detachment (RRD). Methods: The records were reviewed for a consecutive series of 530 patients who underwent primary surgical repair for RRD in Hiroshima University Hospital between January 1997 and December 2002. Patients under the age of 30, with PVR of grade C3 or worse, and vitreous hemorrhage obscuring the view of preoperative fundus, retinal detachment due to macular breaks, giant retinal tears or ocular trauma, and aphakia or pseudophakia were excluded. Included in the study were 242 patients (243 eyes). These patients were followed up for more than 6 months after surgery. Results: Of 243 eyes, 132 eyes underwent SB and 111 eyes underwent PPV. The initial and final anatomical success rates were 90% and 98% with SB, and 86% and 98% with PPV. In macula–off RRDs (83 eyes), there were no significant differences in visual recovery between SB (30 eyes) and PPV (53 eyes). Conclusion: SB was as successful as PPV in treating uncomplicated RRD.
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