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Prospective Study Comparing the Effectiveness of Scleral Buckling to Vitreous Surgery for Rhegmatogenous Retinal Detachment

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Abstract

Purpose

To compare the effectiveness of scleral buckling to vitrectomy for the treatment of rhegmatogenous retinal detachment (RRD) due to equatorial retinal tears.

Methods

Forty-six patients (46 eyes) ≥50 years of age with RRD due to equatorial retinal tears were studied. One group of 23 patients was selected by the randomized envelope method to be treated by scleral buckling and a second group of 23 to be treated by vitrectomy. The rate of retinal reattachment, the visual acuity, optical coherence tomography findings, and postoperative complications were determined. In addition, a questionnaire was filled out by the patients on their subjective assessment of the surgery and recovery.

Results

The rate of retinal reattachment was identical in the two groups. The postoperative visual acuity, the number of patients with visual acuity ≥0.8 and the mean visual acuity were significantly better in the vitrectomy group (χ-squared and Mann-Whitney U tests, P < 0.05) within 12 months after surgery. At 24 and 36 months, the differences in the visual acuity were not significant. The answers to the questionnaire given by the patients in the vitrectomy group suggested that their surgical experiences and visual recovery were better than those of patients in the scleral buckling group.

Conclusion

In patients ≥50 years of age, vitrectomy was more effective than scleral buckling for obtaining good visual acuity in the short term. Jpn J Ophthalmol 2007;51:360–367 © Japanese Ophthalmological Society 2007

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References

  1. R Kloeti (1983) ArticleTitleAmotio-Chirurgie ohne Skleraeindellung. Primaere Vitrectomie Klin Monatsbl Augenheildk 182 474–478 Occurrence Handle10.1055/s-2008-1054828

    Article  Google Scholar 

  2. RF Escoffery RJ Olk MG Grand et al. (1985) ArticleTitleVitrectomy without scleral buckling for primary rhegmatogenous retinal detachment Am J Ophthalmol 99 275–281 Occurrence Handle1:STN:280:DyaL2M7ks1Witw%3D%3D Occurrence Handle10.1016/0002-9394(85)90356-3 Occurrence Handle3976804

    Article  CAS  PubMed  Google Scholar 

  3. N Ogino (1985) ArticleTitleTransvitreous surgery for rhegmatogenous retinal detachment (in Japanese with English abstract) Nihon Ganka Kiyo (Folia Ophthalmol Jpn) 36 2453–2460

    Google Scholar 

  4. N Ogino (1987) ArticleTitleTransvitreal approach for rhegmatogenous retinal detachment (in Japanese with English abstract) Rinsho Ganka (Jpn J Clin Ophthalmol) 41 1095–1097

    Google Scholar 

  5. A Uemura K Nakao (1995) ArticleTitleA comparison between scleral buckling procedure and vitrectomy for the management of uncomplicated retinal detachment caused by posterior retinal break (in Japanese with English abstract) Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc) 99 1170–1174 Occurrence Handle1:STN:280:DyaK28%2Fls1yltA%3D%3D

    CAS  Google Scholar 

  6. H Heimann X Zou C Jandeck et al. (2006) ArticleTitlePrimary vitrectomy for rhegmatogenous retinal detachment: an analysis of 512 cases Graefes Arch Clin Exp Ophthalmol 244 69–78 Occurrence Handle10.1007/s00417-005-0026-3 Occurrence Handle16044327

    Article  PubMed  Google Scholar 

  7. H Ishigooka A Negi M Nishikawa et al. (1988) ArticleTitlePneumatic retinopexy results in better visual prognosis in retinal detachment with macular involvement (in Japanese with English abstract) Rinsho Ganka (Jpn J Clin Ophthalmol) 42 278–279

    Google Scholar 

  8. S de Bustros JT Thompson RG Michels et al. (1988) ArticleTitleNuclear sclerosis after vitrectomy for idiopathic epiretinal membranes Am J Ophthalmol 105 160–164 Occurrence Handle1:STN:280:DyaL1c7jtFaitA%3D%3D Occurrence Handle10.1016/0002-9394(88)90180-8 Occurrence Handle3341433

    Article  CAS  PubMed  Google Scholar 

  9. H Tanihara A Negi S Kawano et al. (1993) ArticleTitleAxial length of eyes with rhegmatogenous retinal detachment Ophthalmologica 206 76–82 Occurrence Handle1:STN:280:DyaK2c%2FpslKmug%3D%3D Occurrence Handle10.1159/000310367 Occurrence Handle8272328

    Article  CAS  PubMed  Google Scholar 

  10. H Ishigooka W Nishizawa I Inaba et al. (1996) ArticleTitleIndications and procedures of vitreous surgery for retinal detachment (in Japanese with English abstract) Ganka Rinsho Iho (Jpn Rev Clin Ophthalmol) 90 914–917

    Google Scholar 

  11. M Matsumura H Terauchi T Mizoguchi et al. (1997) ArticleTitleVitreous surgery as the primary procedure for rhegmatogenous retinal detachment. Is scleral encircling necessary? (in Japanese with English abstract) Ganka Rinsho Iho (Jpn Rev Clin Ophthalmol) 91 1536–1538

    Google Scholar 

  12. T Hiraoka H Oda D Miki et al. (2004) ArticleTitleComparison of scleral buckling and vitrectomy for retinal detachment caused by inferior flap tears (in Japanese with English abstract) Nihon Ganka Kiyo (Folia Ophthalmol Jpn) 55 210–213

    Google Scholar 

  13. AN Stangos IK Petropoulos CG Brozou et al. (2004) ArticleTitlePars-plana vitrectomy alone vs. vitrectomy with scleral buckling for primary rhegmatogenous pseudophakic retinal detachment Am J Ophthalmol 138 952–958 Occurrence Handle10.1016/j.ajo.2004.06.086 Occurrence Handle15629285

    Article  PubMed  Google Scholar 

  14. PD Brazitikos S Androudi WG Christen et al. (2005) ArticleTitlePrimary pars plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: a randomized clinical trial Retina 25 957–964 Occurrence Handle10.1097/00006982-200512000-00001 Occurrence Handle16340523

    Article  PubMed  Google Scholar 

  15. YR Sharma S Karunanithi RV Azad et al. (2005) ArticleTitleFunctional and anatomic outcome of scleral buckling versus primary vitrectomy in pseudophakic retinal detachment Acta Ophthalmol Scand 83 293–297 Occurrence Handle10.1111/j.1600-0420.2005.00461.x Occurrence Handle15948779

    Article  PubMed  Google Scholar 

  16. H Ahmadieh S Moradian H Faghihi InstitutionalAuthorNamePseudophakic and Aphakic Retinal Detachment (PARD) Study Group et al. (2005) ArticleTitleAnatomic and visual outcomes of scleral buckling versus primary vitrectomy in pseudophakic and aphakic retinal detachment: six-month follow-up results of a single operation: Report No. 1 Ophthalmology 112 1421–1429 Occurrence Handle10.1016/j.ophtha.2005.02.018 Occurrence Handle15961159

    Article  PubMed  Google Scholar 

  17. W Liu SY Huang P Zhang et al. (2004) ArticleTitleBioptic significance of incarcerated contents at sclerotomy sites during vitrectomy Retina 24 407–411 Occurrence Handle10.1097/00006982-200406000-00011 Occurrence Handle15187663

    Article  PubMed  Google Scholar 

  18. W Harada H Uchida N Ogino (1995) ArticleTitleCombined pars plana vitrectomy, lens removal and intraocular lens implantation for retinal detachment (in Japanese with English abstract) Rinsho Ganka (Jpn J Clin Ophthalmol) 49 419–422

    Google Scholar 

  19. H Ishigooka W Nishizawa J Akita et al. (1997) ArticleTitleVisual outcome in eyes of retinal detachment treated by vitrectomy or transscleral surgery (in Japanese with English abstract) Ganka Rinsho Iho (Jpn Rev Clin Ophthalmol) 91 1531–1535

    Google Scholar 

  20. N Hagimura T Iida K Sutoh et al. (2001) ArticleTitleResidual retinal detachment in the macular area after successful retinal detachment surgery (in Japanese with English abstract) Rinsho Ganka (Jpn J Clin Ophthalmol) 55 1647–1657

    Google Scholar 

  21. A Arisawa M Kita N Kiriyama et al. (2003) ArticleTitleVisual outcome and optical coherence tomographic features following primary vitrectomy or scleral buckling for rhegmatogenous retinal detachment involving the macula (in Japanese with English abstract) Rinsho Ganka (Jpn J Clin Ophthalmol) 57 1199–1201

    Google Scholar 

  22. TJ Wolfensberger (2004) ArticleTitleFoveal reattachment after macula-off retinal detachment occurs faster after vitrectomy than after buckle surgery Ophthalmology 111 1340–1343 Occurrence Handle10.1016/j.ophtha.2003.12.049 Occurrence Handle15234134

    Article  PubMed  Google Scholar 

  23. H Yetik H Guzel S Ozkan (2004) ArticleTitleStructural features of attached retina in rhegmatogenous retinal detachments Retina 24 63–68 Occurrence Handle10.1097/00006982-200402000-00010 Occurrence Handle15076946

    Article  PubMed  Google Scholar 

  24. H Ishigooka Y Mawatari K Ogawa et al. (2000) ArticleTitleResults of long-term follow-up after vitrectomy for retinal detachment (in Japanese with English abstract) Ganka Shujutsu (Jpn J Ophthalmic Surg) 13 133–137

    Google Scholar 

  25. N Kishimoto T Nishimura S Kawahara et al. (1997) ArticleTitleMacular pucker following scleral buckling surgery for rhegmatogenous retinal detachment (in Japanese with English abstract) Rinsho Ganka (Jpn J Clin Ophthalmol) 51 1685–1689

    Google Scholar 

  26. V Martinez-Castillo A Verdugo A Boixadera et al. (2005) ArticleTitleManagement of inferior breaks in pseudophakic rhegmatogenous retinal detachment with pars plana vitrectomy and air Arch Ophthalmol 123 1078–1081 Occurrence Handle10.1001/archopht.123.8.1078 Occurrence Handle16087841

    Article  PubMed  Google Scholar 

  27. V Martinez-Castillo A Boixadera A Verdugo et al. (2005) ArticleTitlePars plana vitrectomy alone for the management of inferior breaks in pseudophakic retinal detachment without facedown position Ophthalmology 112 1222–1226 Occurrence Handle10.1016/j.ophtha.2004.12.046 Occurrence Handle15939475

    Article  PubMed  Google Scholar 

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Correspondence to Tetsuya Nishimura.

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Koriyama, M., Nishimura, T., Matsubara, T. et al. Prospective Study Comparing the Effectiveness of Scleral Buckling to Vitreous Surgery for Rhegmatogenous Retinal Detachment. Jpn J Ophthalmol 51, 360–367 (2007). https://doi.org/10.1007/s10384-007-0463-0

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  • DOI: https://doi.org/10.1007/s10384-007-0463-0

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