Pars-plana vitrectomy alone vs vitrectomy with scleral buckling for primary rhegmatogenous pseudophakic retinal detachment
Section snippets
Design
We conducted a prospective, nonrandomized study to compare PPV alone vs combined PPV with an encircling scleral buckling procedure, for the treatment of PsRD.
Patients and methods
We developed a protocol to treat all patients presenting to the Retina Service of the Geneva University Clinic of Ophthalmology, with PsRD between 1998 and 2001. According to this protocol, 71 eyes of 68 consecutive patients with PsRD were treated with either PPV alone (group A) or PPV in combination with an encircling scleral buckling procedure (group B). In the first 26 consecutive cases, PPV was combined with an ESB procedure (group B) with a desired moderate buckling effect. In the
Results
Forty-five eyes comprised group A, whereas group B included 26 eyes. Preoperative patient characteristics are shown in Table 1. Analytically, 50 men (70.42%) and 21 women (29.58%) comprised our study population. The mean patient age at RD diagnosis was 65.7 (±10.32 standard deviation [SD]) years, ranging from 44 to 93 years. Mean follow-up time was 12.45 (±5.23 SD) months (range: 9 to 40 months). In 57 cases (80.28%) phacoemulsification was the cataract surgery procedure, whereas 14 cases
Discussion
During the last decade, a substantial improvement has been made in cataract management, owing to novel IOLs and viscoelastics, more sophisticated surgical tecnicques, and state-of-the-art phacoemulsification apparatus. Nevertheless, PsRD is among one of the most serious cataract operation-related complications. 1, 2, 3 Since the first series 4 reporting PsRD, many questions remain unanswered regarding the causes of this frustrating condition and, although various predisposing and
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