Combined 23-Gauge PPV and Scleral Buckle Versus 23-Gauge PPV Alone for Primary Repair of Pseudophakic Rhegmatogenous Retinal Detachment

Vikram J. Setlur, Nadim Rayess, Sunir J. Garg, Jason Hsu, Caesar K. Luo, Carl D. Regillo, Mitchell S. Fineman, Arunan Sivalingam

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background and Objective: This review compares 23-gauge pars plana vitrectomy (PPV) alone versus combined 23-gauge pars plana vitrectomy and scleral buckle (PPV/SB) for primary repair of pseudophakic rhegmatogenous retinal detachment (RRD). Patients and Methods: A retrospective review of 70 eyes that underwent 23-gauge PPV and 43 eyes that received 23-gauge PPV/SB for pseudophakic RRD. Minimum follow-up was 3 months. Outcome measures included anatomical success, visual acuity, and complication rates. Results: The 23-gauge PPV group achieved primary anatomical success in 58 of 70 cases (83%). Primary success in the PPV/SB group occurred in 36 of 43 cases (84%). Final anatomical success was achieved in all 113 cases (100%). The difference in primary success rates was not statistically significant (P = 1.000, Fisher exact test). Average visual acuity for macula-on RRDs in the PPV group showed a +0.07 logMAR improvement (P =.580) versus a +1.34 improvement (P <.001) in macula-off PPV cases. SB/PPV macula-on cases showed a decrease in logMAR visual acuity by-0.06 (P =.380) while macula-off SB/PPV cases improved by +1.28 (P =.002). There were no significant complications in either group. Conclusion: Both 23-gauge PPV and PPV/SB are effective procedures for repairing pseudophakic RRD and exhibit similar rates of success.

Original languageEnglish
Pages (from-to)702-707
Number of pages6
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume46
Issue number7
DOIs
StatePublished - 1 Jul 2015
Externally publishedYes

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