Comparison of scleral buckling with combined scleral buckling and pars plana vitrectomy in the management of rhegmatogenous retinal detachment with unseen retinal breaks

Abstract

Conventional scleral buckling was found to be a safe and effective technique in the primary management of uncomplicated, rhegmatogenous retinal detachments with unseen retinal breaks when the media is clear.

Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study (SPR Study): recruitment list evaluation. Study report no. 2

“…Numerous studies have been published recommending one of the two methods [1,4,13,14,20,24,26,27,29,30,32]. We could identify no consensus among several editorial comments on this issue [6, 15-18, 33, 34].…”

Primary vitrectomy with Densiron-68 for rhegmatogenous retinal detachment

“…However, combining scleral buckle surgery with PPV may increase the risk of intraoperative and postoperative complications (especially choroidal haemorrhage) which occur more frequently in combined surgery [20,23].…”

Primary vitrectomy for rhegmatogenous retinal detachment: an analysis of 512 cases

“…They found an 83% primary success rate in the PPPV group and 93% in the SBS group. Tewari et al compared SBS and PPPV in patients with undetected retinal breaks in a prospective, randomised fashion [40]. The authors found a higher reattachment rate following PPPV, but a better postoperative visual acuity following SBS; neither of the differences reached statistical significance.…”