The evaluation of scleral buckling and pars plana vitrectomy in the management of primary rhegmatogenous retinal detachment

Bilgin S.; Kayikçioǧlu Ö.R.

The evaluation of scleral buckling and pars plana vitrectomy in the management of primary rhegmatogenous retinal detachment

Date

2016

Authors

Bilgin S.

Kayikçioǧlu Ö.R.

Publisher

Gazi Eye Foundation

Abstract

Purpose: To evaluate the results of scleral buckling (SB) and pars plana vitrectomy (PPV) surgeries for the treatment of rhegmatogenous retinal detachment. Materials and Methods: This study included cases who received surgical treatment due to primary rhegmatogenous retinal detachment in our clinic, between March 2003 and April 2014. According to surgery techniques, the cases were evaluated retrospectively and divided into two groups as SB and PPV. The groups were evaluated for anatomical and functional success and complications. Results: Single-surgery anatomic success was achieved in 48 of 52 (94%) eyes that underwent PPV and in 42 of 52 (80%) eyes that underwent SB (p=0.085). The mean VA improvement in the PPV group was significantly better than in the SB group (PPV, 1.196 logMAR (11 standard ETDRS line); SB, 0.155 logMAR (1.5 standard ETRDS line)) (p<0.001). Subfoveal perfluorocarbon liquid retention was observed in two eyes in the PPV group. Conjunctival pyogenic granuloma occured in one eye in the SB group. Endophthalmitis was not observed in any patient in both groups . Conclusion: Although both surgical methods seems to be efficient treatment modalities for primary regmatogenous retinal detachment, better anatomical outcomes were achieved with PPV. In addition, complication types are different due to different surgical procedures and adjunctive tamponade, scleral buckling elements and perfluorocarbon use. © 2016 Gazi Eye Foundation. All rights reserved.