You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

PARS PLANA VITRECTOMY COMPARED WITH PARS PLANA VITRECTOMY COMBINED WITH SCLERAL BUCKLE IN THE PRIMARY MANAGEMENT OF NONCOMPLEX RHEGMATOGENOUS RETINAL DETACHMENT

Orlin, Anton MD*; Hewing, Nina J. MD; Nissen, Michael MD*; Lee, Sangwoo MD*; Kiss, Szilard MD*; D'Amico, Donald J. MD*; Chan, R. V. Paul MD*

Retina:
doi: 10.1097/IAE.0000000000000050
Original Study
Abstract

Purpose: To compare pars plana vitrectomy (PPV) with PPV combined with scleral buckle (PPV/SB) in the treatment of primary, noncomplex rhegmatogenous retinal detachment in an academic setting.

Methods: Retrospective review of 74 consecutive cases that underwent either PPV or PPV/SB for primary rhegmatogenous retinal detachment at New York Presbyterian Hospital, Weill Cornell Medical College. Fifty-two eyes underwent PPV alone while 22 eyes had PPV combined with SB. All eyes had a minimum of 2 months of follow-up. The main outcome measure was single surgery anatomical success.

Results: Patients in the PPV/SB group were less likely to be phakic (P = 0.05) and more likely to have an inferior retinal break (P = 0.001) when compared with the PPV group. Between groups, there was no difference in eyes with peripheral retinal lattice degeneration (P = 0.929), multiple breaks (P = 0.801), breaks seen preoperatively (P = 0.095), or those presenting with the macula off retinal detachment (P = 0.548). The majority of patients in both groups underwent small-gauge surgery (23 G or 25 G) (P = 0.65). Attachment of the retina was obtained in 100% of the patients in both groups at most recent follow-up. Single surgery anatomical success was similar between groups (83% PPV vs. 86% PPV/SB; P = 0.695). Mean best-corrected Snellen visual acuity improved in both groups (P = 0.75), with a final best-corrected Snellen visual acuity of 0.418 logMAR in the PPV group and 0.479 logMAR in the PPV/SB group (P = 0.61). When comparing PPV with PPV/SB, no difference in single surgery anatomical success existed after evaluating eyes with inferior breaks (P = 0.68), pseudophakia (P = 0.75), or when small-gauge surgery was performed (P = 0.76).

Conclusion: We did not find significant differences in single surgery anatomical success, final anatomical success, or change in visual acuity when comparing PPV with PPV/SB in the repair of primary noncomplex rhegmatogenous retinal detachment in an academic setting where vitreoretinal fellows participate in key aspects of all cases.

In Brief

The authors did not find significant differences in single surgery anatomical success, final anatomical success, or change in visual acuity when comparing PPV with PPV/SB in the repair of primary noncomplex rhegmatogenous retinal detachment in an academic setting where vitreoretinal fellows participate in key aspects of all cases.

Author Information

*Department of Ophthalmology, Weill Cornell Medical College, New York, New York; and

Department of Ophthalmology, Campus Benjamin Franklin, Charité - Universitaetsmedizin Berlin, Berlin, Germany.

Reprint requests: R. V. Paul Chan, MD, Department of Ophthalmology, Weill Cornell Medical College, 1305 York Avenue, 11th Floor, Room Y 11.34, New York, NY 10021; e-mail: roc9013@med.cornell.edu

Paper presented at the Association for Research in Vision and Ophthalmology Annual Meeting, Fort Lauderdale, FL, May 5, 2011.

Supported by the St. Giles Foundation (R.V.P.C.) and by the Research to Prevent Blindness (R.V.P.C., A.O., S.K., and D.J.D.).

None of the authors have any financial/conflicting interests to disclose.

© 2014 by Ophthalmic Communications Society, Inc.