ArticleInternational journal of ophthalmology2025
Refractive and surgical outcomes of scleral buckling with or without vitrectomy in primary pseudophakic retinal detachment.
Article in International journal of ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimTo report the refractive and surgical outcomes of scleral buckling (SB) with or without pars plana vitrectomy (PPV) in patients with pseudophakic rhegmatogenous retinal detachment (PRRD).
methodsA consecutive case series of patients with pseudophakia who underwent retinal detachment (RD) surgery was enrolled. The SB procedures were selected to initially treat primary pseudophakic PRRDs and SB-PPV for more complex cases, according to preoperative findings. Eyes with anterior chamber intraocular lens, proliferative vitreoretinopathy anterior to equator, previous invasive glaucoma surgery, severe degenerative myopia or macular hole, and <6mo follow-up were excluded from outcomes analysis. The primary clinical outcome measures were the single surgery anatomic success (SSAS) and final surgery anatomic success (FSAS) rates. Secondary outcome measures were postoperative visual acuity and refractive error.
resultsA total of 81 consecutive patients (81 eyes) were enrolled for analysis, comprising 66 (81%) men and 15 (19%) women with a mean age of 58y (range, 33-86y) and the mean final follow-up period was 21.0±19.6mo. A total of 62 PRRDs (
conclusionThe initial surgical procedures of SB with or without PPV according to the preoperative findings achieve a high reattachment rate and an acceptable refractive error for primary pseudophakic RRD management.
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