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Article Type

Original Study

Abstract

Objective The aim of this study was to compare and report the anatomic and functional results of primary vitrectomy with scleral buckling versus primary vitrectomy without scleral buckling for the treatment of rhegmatogenous retinal detachment (RRD). Background RRD is one of the commonly encountered retinal problems where timely treatment could prevent irreversible vision loss. A variety of options, including scleral buckling, pars plana vitrectomy (PPV) with scleral buckling, pneumatic retinopexy, and a temporary balloon buckle, have been described as methods for repair of RRD. Patients and methods A prospective, interventional, comparative case study was carried out. This study included 170 consecutive cases of vitrectomy for primary RRD at two vitreoretinal centers. They were divided into two groups: group I included 95 patients who underwent PPV alone and group II included 75 patients who underwent PPV with a scleral buckle. The main outcome measures were single-surgery anatomic success (SSAS) and final visual acuity (VA). Results SSAS was obtained in 160 eyes [89 (93.7%) in group I and 71 (94.7%) in group II]. From overall 111 phakic retinal detachments, SSAS was achieved in 104 eyes [52 in group I (92.9%) and 52 in group II (95.5%)], whereas from overall 59 aphakic or pseudophakic retinal detachments, SSAS was achieved in 56 eyes [37 in group I (94.8%) and 19 in group II (90%)]. VA improvement was greater in the PPV group (P = 0.021). Conclusion Both surgical procedures had similar reattachment rates. Intraoperative and postoperative complications were similar considering both the procedures. VA improved significantly in group I (vitrectomy without scleral buckling).

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