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Combined PPV and scleral buckle versus PPV alone for primary rhegmatogenous retinal detachment with lower break

Session Details

Session Title: Vitreoretinal Surgery V

Session Date/Time: Sunday 20/09/2015 | 11:00-13:00

Paper Time: 11:24

Venue: Hermes

First Author: : A.El Habbak -0

Co Author(s): :                  

Abstract Details

PURPOSE:To compare between combined scleral buckle with pars plana vitrectomy and pars Plana vitrectomy alone as a primary surgery in retinal detachment with inferior break.

Setting:

PPV with scleral buckle in cases of RD with lower retinal break , versus PPV alone in cases of RD with lower break.

Methods:

87 eyes with consecutive primary rhegmatogenous retinal detachment and inferior break were included in this retrospective study. 41 patients underwent combined scleral buckle and pars plana vitrectomy (Group A) , and was followed up for 6 to 12 months . 46 patients underwent pars plana vitrectomy alone (Group B), and was followed up for 6 to 12 months . All patients were examined with respect to anatomic reattachment, visual acuity improvement and surgical complications.

Results:

Retinal reattachment with a single surgery was achieved in 90.24% (37 from 41) in group A and 86.95% (40 from 46) . Mean operative time is 81 minutes for group A and 57 minutes for group B. Retinectomy was needed in 2.44% (one case) in group A and 6.52% (3 cases). Visual acuity improved by 2 or more lines in 73.17% in group A and 65.21% in group B . No major intraoperative complications occurred in both groups.

Conclusions:

A combined pars plana vitrectomy and scleral buckle for rhegmatogenous retinal detachment with inferior break offers significant benefits to pars plana vitrectomy alone. The improved success rate may be attributed to better inferior tamponading effect with the buckle .

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