Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2020 Jan;40(1):33-40.
doi: 10.1097/IAE.0000000000002348.

COMPARISON BETWEEN RELEASABLE SCLERAL BUCKLING AND VITRECTOMY IN PATIENTS WITH PHAKIC PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT

Xiujuan Zhao  1 , Li Huang  1 , Cancan Lyu  1 , Bingqian Liu  1 , Wei Ma  1 , Xiaoyan Deng  1 , Huaiyan Jiang  2 , Yan Wang  3 , Xiling Yu  1 , Xiaoyan Ding  1 , Yan Luo  1 , Jin Ma  1 , Jay M Stewart  4 , Xiaoling Liang  1 , Chenjin Jin  1 , Lin Lu  1
Affiliations
Randomized Controlled Trial

COMPARISON BETWEEN RELEASABLE SCLERAL BUCKLING AND VITRECTOMY IN PATIENTS WITH PHAKIC PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT

Xiujuan Zhao et al. Retina. 2020 Jan.

Abstract

Purpose: To compare the efficiency of releasable scleral buckling (RSB) and pars plana vitrectomy (PPV) in the treatment of phakic patients with primary rhegmatogenous retinal detachment.

Methods: The current study was a prospective randomized clinical trial. One hundred and ten eyes from 110 patients with primary rhegmatogenous retinal detachment and proliferative vitreoretinopathy of Grade B or less were included in this study. The patients were randomly allocated into an RSB group and a PPV group. The functional and anatomical success was compared between groups.

Results: The primary anatomical success rate (PPV 41/43 [95.35%] and RSB 38/41 [92.68%]) and final anatomical success rate (PPV and RSB 100%) showed a nonsignificant difference. The best-corrected visual acuity, intraocular pressure, and complications were not different between the groups. However, the incidence of cataract progression was higher in the PPV group (26 of 43 [60.47%]) than in the RSB group (4 of 41 [9.76%]) at the 12-month follow-up. The subfoveal choroidal thickness increased significantly in the RSB group 3 months after surgery, but no longer differed at the postoperative 6-month and 12-month follow-ups. The axial length had increased significantly 1 month after surgery, but the difference was no longer significant at 3 months, 6 months, and 12 months.

Conclusion: The RSB and PPV procedures have the same effects on the functional and anatomical success for patients with phakic primary rhegmatogenous retinal detachment. Nevertheless, based on the few cases of intraocular complications and cataract progression, we believe that the RSB technique should be preferentially recommended.

PubMed Disclaimer

Conflict of interest statement

None of the authors has any financial/conflicting interests to disclose.

Figures

Fig. 1.
Fig. 1.
Optical coherence tomography images of patients who underwent RSB (A–D) and PPV (E–H) for primary RRD. The preoperative (A and E), 1-month postoperative (B and F), 3-month postoperative (C and G), and 6-month postoperative (D and H) optical coherence tomography images are shown respectively.
Fig. 2.
Fig. 2.
Participant disposition.
Fig. 3.
Fig. 3.
Peripheral indentation at 1 month after surgery (A). The indentation disappeared at 3 months after surgery (B).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Machemer R. The importance of fluid absorption, traction, intraocular currents, and chorioretinal scars in the therapy of rhegmatogenous retinal detachments. XLI Edward Jackson memorial lecture. Am J Ophthalmol 1984;98:681–693. - PubMed
    1. Michaelson IC, Stein R. A national study on the prevention of retinal detachment. Isr J Med Sci 1972;8:1421–1423. - PubMed
    1. Ho CL, Chen KJ, See LC. Selection of scleral buckling for primary retinal detachment. Ophthalmologica 2002;216:33–39. - PubMed
    1. SPR Study group. View 2: the case for primary vitrectomy. Br J Ophthamol 2003;87:784–787. - PMC - PubMed
    1. Goezinne F, La Heij EC, Berendschot TT, et al. Anterior chamber depth is significantly decreased after scleral buckling surgery. Ophthalmology 2010;117:79–85. - PubMed

Publication types

MeSH terms