Background/Aim. Among the proposed operative techniques for retinal
detachment (RD) the most commonly applied are classical method with scleral
buckling and pars plana vitrectomy (PPV). The aim of this paper was to
determine which surgical intervention of these two leads to better
morphological results in terms of the applied retina and better functional
outcomes in terms of visual acuity (VA) of the operated eye in patients with
RD. Methods. A retrospective study on the comparative section of the effects
of scleral buckling surgery and PPV in uncomplicated rhegmatogenous RD was
performed. In a 2-year period 97 patients, i.e. 98 eyes with RD were operated
on (68 eyes with scleral buckling surgery vs 30 by PPV). Results. In the
group with classically operated detachment, the retina was applied in 52
(76.5%) cases vs 30 (100%) patients in PPV group (p < 0.05). Postoperative VA
in logMAR was significantly better in both groups compared to preoperative
VA: in the classically operated was 1.89 ? 1.04 preoperatively vs 0.98 ? 0.70
postoperatively, while in the PPV group, preoperative value was 2.56 ? 0.67
vs 1.31 ? 0.74 postoperatively (p = 0.001). Conclusion. PPV in uncomplicated
forms of RD gives better anatomical results than scleral buckling surgery. VA
was significantly improved in both observed groups, while its mean value was
postoperatively better in the group that was operated with the classical
method. The reason for this could be due to better VA in baseline in the
scleral buckling surgery group.
Anatomical and functional outcomes of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment