Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment

Luke B Lindsell, Robert A Sisk, Daniel M Miller, Robert E Foster, Michael R Petersen, Christopher D Riemann, Robert K Hutchins Cincinnati Eye Institute, Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA Objective: To assess the combination of scleral buckling (SB) and pars...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Lindsell LB, Sisk RA, Miller DM, Foster RE, Petersen MR, Riemann CD, Hutchins RK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Scleral Buckling Vitrectomy Rhegmatogenous Retinal Detachment Outcomes Proliferative Vitreoretinopathy Comparison Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c114f1ac07c442c2ac17bdac3745b5c0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:c114f1ac07c442c2ac17bdac3745b5c0
record_format	dspace
spelling	oai:doaj.org-article:c114f1ac07c442c2ac17bdac3745b5c02021-12-02T02:12:02ZComparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment1177-5483https://doaj.org/article/c114f1ac07c442c2ac17bdac3745b5c02016-12-01T00:00:00Zhttps://www.dovepress.com/comparison-of-outcomes-scleral-buckling-and-pars-plana-vitrectomy-vers-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Luke B Lindsell, Robert A Sisk, Daniel M Miller, Robert E Foster, Michael R Petersen, Christopher D Riemann, Robert K Hutchins Cincinnati Eye Institute, Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA Objective: To assess the combination of scleral buckling (SB) and pars plana vitrectomy (PPV) versus PPV alone in the primary repair of rhegmatogenous retinal detachments (RRDs).Methods: The current study was a retrospective, comparative, interventional, consecutive case series of 179 eyes of 174 patients who underwent primary RRD repair by five surgeons between January 1, 2008 and December 31, 2010, utilizing SB with PPV or PPV. Univariate and multivariate analyses were used to compare the efficacy of the two surgical strategies and assess for risk factors of proliferative vitreoretinopathy (PVR).Results: Single surgery anatomic success (SSAS) was similar (P=0.76) between the PPV group (112 of 132 eyes, 85%) and SB with PPV group (39 of 47 eyes, 83%). Final anatomic success was 100% in each group. There was no difference in rates of PVR formation (PPV 16% vs SB with PPV 19%, P=0.70). Final logarithm of the minimum angle of resolution acuity was 0.33 (20/43) in the PPV group and 0.37 (20/47) in the SB with PPV group (P=0.62). Postoperative anterior chamber fibrin was highly correlated with PVR formation (PVR 13% vs no PVR 0.7%, P=0.003; odds ratio =68.37, P=0.007). Separate analysis of medium- to high-complexity cases showed similar SSAS (PPV 86% vs SB with PPV 83%, P=0.45).Conclusion: SB with PPV versus PPV alone were similarly efficacious for repair of primary RRDs of varying complexity. SSAS rates, PVR incidence, and final visual acuities were not significantly different. Keywords: scleral buckling, vitrectomy, rhegmatogenous retinal detachment, outcomes, proliferative vitreoretinopathy, comparisonLindsell LBSisk RAMiller DMFoster REPetersen MRRiemann CDHutchins RKDove Medical PressarticleScleral Buckling Vitrectomy Rhegmatogenous Retinal Detachment Outcomes Proliferative Vitreoretinopathy ComparisonOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 47-54 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Scleral Buckling Vitrectomy Rhegmatogenous Retinal Detachment Outcomes Proliferative Vitreoretinopathy Comparison Ophthalmology RE1-994
spellingShingle	Scleral Buckling Vitrectomy Rhegmatogenous Retinal Detachment Outcomes Proliferative Vitreoretinopathy Comparison Ophthalmology RE1-994 Lindsell LB Sisk RA Miller DM Foster RE Petersen MR Riemann CD Hutchins RK Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment
description	Luke B Lindsell, Robert A Sisk, Daniel M Miller, Robert E Foster, Michael R Petersen, Christopher D Riemann, Robert K Hutchins Cincinnati Eye Institute, Department of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA Objective: To assess the combination of scleral buckling (SB) and pars plana vitrectomy (PPV) versus PPV alone in the primary repair of rhegmatogenous retinal detachments (RRDs).Methods: The current study was a retrospective, comparative, interventional, consecutive case series of 179 eyes of 174 patients who underwent primary RRD repair by five surgeons between January 1, 2008 and December 31, 2010, utilizing SB with PPV or PPV. Univariate and multivariate analyses were used to compare the efficacy of the two surgical strategies and assess for risk factors of proliferative vitreoretinopathy (PVR).Results: Single surgery anatomic success (SSAS) was similar (P=0.76) between the PPV group (112 of 132 eyes, 85%) and SB with PPV group (39 of 47 eyes, 83%). Final anatomic success was 100% in each group. There was no difference in rates of PVR formation (PPV 16% vs SB with PPV 19%, P=0.70). Final logarithm of the minimum angle of resolution acuity was 0.33 (20/43) in the PPV group and 0.37 (20/47) in the SB with PPV group (P=0.62). Postoperative anterior chamber fibrin was highly correlated with PVR formation (PVR 13% vs no PVR 0.7%, P=0.003; odds ratio =68.37, P=0.007). Separate analysis of medium- to high-complexity cases showed similar SSAS (PPV 86% vs SB with PPV 83%, P=0.45).Conclusion: SB with PPV versus PPV alone were similarly efficacious for repair of primary RRDs of varying complexity. SSAS rates, PVR incidence, and final visual acuities were not significantly different. Keywords: scleral buckling, vitrectomy, rhegmatogenous retinal detachment, outcomes, proliferative vitreoretinopathy, comparison
format	article
author	Lindsell LB Sisk RA Miller DM Foster RE Petersen MR Riemann CD Hutchins RK
author_facet	Lindsell LB Sisk RA Miller DM Foster RE Petersen MR Riemann CD Hutchins RK
author_sort	Lindsell LB
title	Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment
title_short	Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment
title_full	Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment
title_fullStr	Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment
title_full_unstemmed	Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment
title_sort	comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/c114f1ac07c442c2ac17bdac3745b5c0
work_keys_str_mv	AT lindselllb comparisonofoutcomesscleralbucklingandparsplanavitrectomyversusvitrectomyaloneforprimaryrepairofrhegmatogenousretinaldetachment AT siskra comparisonofoutcomesscleralbucklingandparsplanavitrectomyversusvitrectomyaloneforprimaryrepairofrhegmatogenousretinaldetachment AT millerdm comparisonofoutcomesscleralbucklingandparsplanavitrectomyversusvitrectomyaloneforprimaryrepairofrhegmatogenousretinaldetachment AT fosterre comparisonofoutcomesscleralbucklingandparsplanavitrectomyversusvitrectomyaloneforprimaryrepairofrhegmatogenousretinaldetachment AT petersenmr comparisonofoutcomesscleralbucklingandparsplanavitrectomyversusvitrectomyaloneforprimaryrepairofrhegmatogenousretinaldetachment AT riemanncd comparisonofoutcomesscleralbucklingandparsplanavitrectomyversusvitrectomyaloneforprimaryrepairofrhegmatogenousretinaldetachment AT hutchinsrk comparisonofoutcomesscleralbucklingandparsplanavitrectomyversusvitrectomyaloneforprimaryrepairofrhegmatogenousretinaldetachment
_version_	1718402617552404480

Comparison of outcomes: scleral buckling and pars plana vitrectomy versus vitrectomy alone for primary repair of rhegmatogenous retinal detachment

Ejemplares similares