Session Title: Vitreoretinal Surgery V
Session Date/Time: Sunday 20/09/2015 | 11:00-13:00
Paper Time: 11:32
First Author: : A.El Habbak EGYPT
Co Author(s): : M. Nagy
PURPOSE:To compare between combined sclera buckle with pars plana vitrectomy and pars plana vitrectomy alone as a primary surgery in retinal detachment with inferior break.
A combined PPV surgery with sclera buckle for primary rhegmatogenous retinal detachment with inferior break or PPV alone.
87 eyes with consecutive primary rhegmatogenous retinal detachments and inferior break were included in this retrospective study. 41 patients underwent combined sclera 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.
Retina reattachment with a single surgery was achieved in 90.24% (37 from 41) in Group A and 86.95% (40 from 46) in Group B. 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.
A combined PPV surgery with sclera buckle for primary rhegmatogenous retinal detachment with inferior break offers significant benefits to PPV alone. The improved success rate may be attributed to better inferior tamponading effect with the buckle.