In:
Ophthalmic Surgery, Lasers and Imaging Retina, SLACK, Inc., Vol. 40, No. 6 ( 2009-01), p. 539-547
Abstract:
〈 H4 〉 BACKGROUND AND OBJECTIVE 〈 /H4 〉 〈 P 〉 To compare the surgical outcome of scleral buckling (group 1) versus scleral buckling with pars plana vitrectomy (group 2) for the repair of macula-off rhegmatogenous retinal detachment without proliferative vitreoretinopathy. 〈 /P 〉 〈 H4 〉 PATIENTS AND METHODS 〈 /H4 〉 〈 P 〉 A retrospective chart review was performed. 〈 /P 〉 〈 H4 〉 RESULTS 〈 /H4 〉 〈 P 〉 Eighty-three patients were identified in group 1 and 63 patients in group 2. Presenting visual acuity was 4/200 in group 1 and 3/200 in group 2. Median duration of detachment prior to surgery was 5 days in group 1 and 6 days in group 2. There was no statistical difference in best-corrected ( 〈 i 〉 P 〈 /i 〉 = .59) or most recent ( 〈 i 〉 P 〈 /i 〉 = .75) visual acuity between groups. Median best-corrected visual acuity was 20/30 and median most recent visual acuity was 20/40 in both groups. Significantly more additional procedures were performed in group 1 than in group 2 (21.7% vs 7.9%, respectively; 〈 i 〉 P 〈 /i 〉 = .024). The final reattachment rate was 96.4% in group 1 and 98.4% in group 2. Proliferative vitreoretinopathy developed in 15.7% of patients in group 1 and 4.8% in group 2 ( 〈 i 〉 P 〈 /i 〉 = .037). 〈 /P 〉 〈 H4 〉 CONCLUSION 〈 /H4 〉 〈 P 〉 Visual outcome of scleral buckling is similar to scleral buckling with pars plana vitrectomy for the treatment of macula-off rhegmatogenous retinal detachment in patients without proliferative vitreoretinopathy. Patients undergoing scleral buckling only are at an increased risk of developing proliferative vitreoretinopathy and requiring additional procedures. 〈 /P 〉 〈 P 〉 [ 〈 cite 〉 Ophthalmic Surg Lasers Imaging 〈 /cite 〉 2009;40:539-547.] 〈 /P 〉 〈 H4 〉 AUTHORS 〈 /H4 〉 〈 P 〉 From the Department of Ophthalmology & Visual Sciences (PND, KJB, GKS, NMH, DPJ, BW, MAT, MGG), Washington University School of Medicine; and the Barnes Retina Institute (KJB, GKS, NMH, DPJ, MAT, MGG), St. Louis, Missouri. 〈 /P 〉 〈 P 〉 Accepted for publication December 16, 2008. 〈 /P 〉 〈 P 〉 Supported in part by the Heed Ophthalmic Fellowship Foundation. 〈 /P 〉 〈 P 〉 The authors have no financial or proprietary interest in the materials presented herein. 〈 /P 〉 〈 P 〉 Address correspondence to Kevin J. Blinder, MD, 1600 South Brentwood Boulevard, Suite 800, St. Louis, MO 63144. 〈 /P 〉 〈 P 〉 doi: 10.3928/15428877-20091030-02 〈 /P 〉
Type of Medium:
Online Resource
ISSN:
2325-8160
,
2325-8179
DOI:
10.3928/15428877-20091030-02
Language:
English
Publisher:
SLACK, Inc.
Publication Date:
2009
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