April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
23- or 20-gauge Pars Plana Vitrectomy Alone vs Combined Pars Plana Vitrectomy and Scleral Buckle for the Treatment of Rhegmatogenous Retinal Detachment
Author Affiliations & Notes
  • Anton Orlin
    Ophthalmology, Weill Cornell Medical College, New York, New York
  • Nina J. Jonsson
    Ophthalmology, Weill Cornell Medical College, New York, New York
  • Aalya H. Fatoo
    Ophthalmology, Weill Cornell Medical College, New York, New York
  • Michael Nissen
    Ophthalmology, Weill Cornell Medical College, New York, New York
  • Robison V. Chan
    Ophthalmology, Weill Cornell Medical College, New York, New York
  • Footnotes
    Commercial Relationships  Anton Orlin, None; Nina J. Jonsson, None; Aalya H. Fatoo, None; Michael Nissen, None; Robison V. Chan, None
  • Footnotes
    Support  Grant from Dr. Werner Jackstaedt Foundation, Wuppertal, Germany (NJJ), Departmental Grant from Research to Prevent Blindness (AO, MN, RVPC), The St. Giles Foundation (RVPC)
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 6171. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Anton Orlin, Nina J. Jonsson, Aalya H. Fatoo, Michael Nissen, Robison V. Chan; 23- or 20-gauge Pars Plana Vitrectomy Alone vs Combined Pars Plana Vitrectomy and Scleral Buckle for the Treatment of Rhegmatogenous Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6171.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: : To compare long term results of pars plana vitrectomy (PPV) alone vs vitrectomy combined with scleral buckle (PPV/SB) in the treatment of primary rhegmatogenous retinal detachment (RRD).

Methods: : Retrospective, nonrandomized chart review of all patients receiving primary PPV (20 or 23 gauge) or PPV combined with an encircling 41 band for the treatment of RRD between 2006 and 2010. All surgeries were performed by 2 retinal surgeons at Weill Cornell Medical College. Thus far, 11 eyes undergoing PPV alone and 19 eyes undergoing PPV/SB have been included in the study. Eyes were excluded if the duration of follow up was less than 3 months, or if they had received prior surgery for RRD. Main outcome measures were single surgery anatomic success rates, visual acuity changes, and post operative complications.

Results: : 54.55% of eyes in the PPV group presented with macula off retinal detachments compared to 68.42% in the PPV/SB group (p=0.465). At baseline, eyes in the PPV group vs PPV/SB groups were recorded as having identifiable retinal breaks (100% vs 73.68%, p= 0.066), proliferative vitreoretinopathy (PVR) (18.18% vs 42.11%, p=0.193), and inferior retinal breaks (9.00% vs 42.11%, p=0.60). At a mean follow up of 431 days, the single surgery success rate of reattachment was 72.72% in the PPV alone group vs. 89.47% in the PPV/SB group (p=0.25). At follow up, the PPV group showed a mean improvement in visual acuity by 0.8 logMAR units, while the PPV/SB group improved by 0.69 logMAR units (p=0.788). Subsequent surgery included epiretinal membrane removal (1 eye-PPV group), corneal transplant for edema (1 eye-PPV/SB group), and cataract extraction (1 eye- PPV group, 3 eyes-PPV/SB group).

Conclusions: : There was no statistically significant difference in visual improvement, or in single surgical success rate between the PPV and PPV/SB groups. There was a trend amongst eyes in the PPV/SB group (on initial examination) to have more PVR, more inferior retinal breaks, and less identifiable retina breaks. An increased number of eyes will be included into the study over the near future.

Keywords: retinal detachment • vitreoretinal surgery • retina 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×