scholarly journals Vitrectomy Versus Combined Vitrectomy-Scleral Buckling for the Treatment of Pseudophakic and Aphakic Retinal Detachment

2021 ◽  
Vol 5 (2) ◽  

There is a disagreement on the ideal intervention for pseudophakic and aphakic retinal detachment. The goal of this thesis is to outline the difference between the two surgical approaches in getting higher reattachment rates and better visual outcomes. The study is a prospective randomised study to evaluate the efficacy of vitrectomy alone versus a combination of both vitrectomy and scleral buckling in the treatment of pseudophakic and aphakic retinal detachment. Aim: The aim of this study is to compare the anatomical and functional results of primary vitrectomy alone versus vitrectomy-scleral buckling for pseudophakic and aphakic retinal detachment. Patients and Methods: A total of 30 eyes with pseudophakic or aphakic retinal detachment will be divided into two groups. Fifteen consecutive pseudophakic or aphakic eyes with retinal detachment will be operated by vitrectomy-scleral buckling (Group-A) and Fifteen additional patients will be operated by vitrectomy alone (Group-B). Results: The two groups of the patients with a postoperative follow-up of at least 6 months continue to maintain an attached retina after one operation. Visual acuity has improved by at least 2 lines on the Snellen chart in 25 patients, remained the same in 2 patients, and decreased in 1 patient. Conclusion: This randomised study shows the same anatomic results when performing a PPV, fluid-air exchange, internal drainage, and endolaser together and SF6 gas injection with or without a scleral buckling for pseudophakic retinal detachment.

Ophthalmology ◽  
2005 ◽  
Vol 112 (8) ◽  
pp. 1421-1429 ◽  
Author(s):  
Hamid Ahmadieh ◽  
Siamak Moradian ◽  
Hooshang Faghihi ◽  
Mohammad M. Parvaresh ◽  
Heshmatollah Ghanbari ◽  
...  

2005 ◽  
Vol 83 (3) ◽  
pp. 293-297 ◽  
Author(s):  
Yog Raj Sharma ◽  
Sathiyan Karunanithi ◽  
Raj Vardhan Azad ◽  
Rajpal Vohra ◽  
Nikhil Pal ◽  
...  

1996 ◽  
Vol 234 (9) ◽  
pp. 561-568 ◽  
Author(s):  
Heinrich Heimann ◽  
Norbert Bornfeld ◽  
Wilko Friedrichs ◽  
Horst Helbig ◽  
Ulrich Kellner ◽  
...  

Supplemental scleral buckling techniques in vitrectomy for the repair of rhegmatogenous retinal detachment to achieve higher reattachment rates are not widely used but may be useful especially in complicated cases. In this article, the positive and negative aspects of adding scleral buckle to primary vitrectomy will be examined by looking at relevant studies.


Retinal detachment is one of the most important causes of visual loss. Scleral buckling, pneumatic retinopexy, or primary vitrectomy techniques are the state of art treatment approaches for retinal detachment. Novel improvements in instruments and techniques of vitreoretinal surgery have led primary vitrectomy to be more preferable for retinal detachment surgery. Performing primary vitrectomy in selected patients, considering the advantages and disadvantages has a significant impact in terms of prognosis.


2010 ◽  
Vol 51 (3) ◽  
pp. 366 ◽  
Author(s):  
Tae Hyuk Koh ◽  
Moon Jeong Choi ◽  
Sung Won Cho ◽  
Tae Gon Lee ◽  
Jae Heung Lee

2013 ◽  
Vol 06 (02) ◽  
pp. 135 ◽  
Author(s):  
Eric W Schneider ◽  
Mark W Johnson ◽  
◽  

With the development of pars plana vitrectomy in the 1970s and pneumatic retinopexy in the 1980s, the primacy of scleral buckling for repair of rhegmatogenous retinal detachment (RRD) came under challenge. While a degree of consensus exists for certain forms of complex RRD, there remains little agreement concerning the optimal treatment of primary noncomplex RRD. This debate is further muddied by application of adjuvant procedures to supplement the primary surgical approach. This article aims to present the current evidence regarding repair of primary noncomplex RRD. A brief summary of primary surgical approaches—pneumatic retinopexy, scleral buckling, and pars plana vitrectomy—will be presented along with a short discussion on potential adjuvant procedures. The remainder of the article focuses on reported outcomes for the different treatment modalities for primary noncomplex RRD.


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