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

doi:10.3928/23258160-20150730-03

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 journal › Article › peer-review

9 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 language	English
Pages (from-to)	702-707
Number of pages	6
Journal	Ophthalmic Surgery Lasers and Imaging Retina
Volume	46
Issue number	7
DOIs	https://doi.org/10.3928/23258160-20150730-03
State	Published - 1 Jul 2015
Externally published	Yes

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

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.",

author = "Setlur, {Vikram J.} and Nadim Rayess and Garg, {Sunir J.} and Jason Hsu and Luo, {Caesar K.} and Regillo, {Carl D.} and Fineman, {Mitchell S.} and Arunan Sivalingam",

year = "2015",

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doi = "10.3928/23258160-20150730-03",

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T1 - Combined 23-Gauge PPV and Scleral Buckle Versus 23-Gauge PPV Alone for Primary Repair of Pseudophakic Rhegmatogenous Retinal Detachment

AU - Setlur, Vikram J.

AU - Rayess, Nadim

AU - Garg, Sunir J.

AU - Hsu, Jason

AU - Luo, Caesar K.

AU - Regillo, Carl D.

AU - Fineman, Mitchell S.

AU - Sivalingam, Arunan

PY - 2015/7/1

Y1 - 2015/7/1

N2 - 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.

AB - 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.

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JO - Ophthalmic Surgery Lasers and Imaging Retina

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ER -

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

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