PT  - JOURNAL ARTICLE
AU  - Omar Moinuddin
AU  - Rebhi O Abuzaitoun
AU  - Min W Hwang
AU  - Sanjana K Sathrasala
AU  - Xing D Chen
AU  - Joshua D Stein
AU  - Mark W Johnson
AU  - David N Zacks
AU  - Thomas J Wubben
AU  - Cagri G Besirli
TI  - Surgical repair of primary non-complex rhegmatogenous retinal detachment in the modern era of small-gauge vitrectomy
AID  - 10.1136/bmjophth-2020-000651
DP  - 2021 Feb 01
TA  - BMJ Open Ophthalmology
PG  - e000651
VI  - 6
IP  - 1
4099  - http://bmjophth.bmj.com/content/6/1/e000651.short
4100  - http://bmjophth.bmj.com/content/6/1/e000651.full
SO  - BMJ Open Ophth2021 Feb 01; 6
AB  - Objective To report anatomic and visual outcomes of pars plana vitrectomy (PPV), as well as scleral buckling (SB) and PPV/SB as surgical treatments for the management of primary, non-complex rhegmatogenous retinal detachment (RRD).Methods and analysis Data from 751 eyes that underwent PPV, SB or combined PPV/SB as a surgical treatment for primary non-complex RRD with at least 3 months of follow-up were analysed to determine rates of single surgery anatomic success (SSAS) and final anatomic success (FAS). Patients or the public were not involved in the design, conduct or reporting of this research.Results PPV accounted for 89.0% (n=668), PPV/SB for 6.8% (n=51) and SB for 4.2% (n=32) cases. Overall SSAS (91.2% PPV, 84.3% PPV/SB, 93.8% SB; p=0.267) and FAS (96.7% PPV, 94.1% PPV/SB and 100.0% SB; p=0.221) were reported for the three surgical groups. SSAS and FAS were similar for lens status, macular detachment status and the presence or absence of inferior retinal breaks for each of the PPV, PPV/SB and SB groups.Conclusions In this large, single institution, retrospective case series, we report surgical outcomes for patients with primary non-complex RRD managed with PPV, SB or PPV/SB in the modern era of small-gauge vitrectomy. We demonstrate that primary PPV without adjunct SB provides excellent anatomic and visual outcomes irrespective of lens status, macular involvement or pathology location.