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Management of uncomplicated primary retinal rhegmatogenous detachment

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Abstract

Purpose

The purpose of this study was to compare the vitreoretinal surgery outcomes in patients with uncomplicated rhegmatogenous retinal detachment (RRD).

Design

This was a retrospective, nonrandomized consecutive case series study.

Participants

Six hundred and eighty-three eyes with primary uncomplicated RRD between 2013 and 2017 were included in this study.

Method

Patients were treated by one of the following methods: pars plana vitrectomy (PPV), scleral buckling (SB), and combined PPV with SB (PPV + SB). The success rate was divided into an anatomical and functional one, the anatomical success rate was retinal reattachment, and the functional success rate was defined as a statistically significant improvement in BCVA patients within a 6-month follow-up period.

Results

This study involved 683 eyes; of these, 79 eyes underwent PPV, combined PPV/SB was performed on 180 eyes, and 424 eyes underwent SB. The anatomical success rates were 83.5% for PPV and 80% for combined SB/PPV. The anatomical success rate for the SB group was 75.5%. There were no significant differences between these groups in terms of anatomical success rates (0.191) or functional success rates (p = 0.534). There was no significant difference between the PPV alone and PPV + SB in terms of the likelihood of anatomic success (p-value: 0.503) or functional success (p-value: 0.839). Preoperative worse BCVA and presence of PVR were associated with poor prognosis (p-value: 0.024, 0.013, respectively).

Conclusion

In the setting of appropriate instruments for microincision pars plana deep vitrectomy, it seems the surgical outcomes of scleral buckling and PPV are not different in patients with primary uncomplicated RRD. The supplementary band has not additional benefits in patients who underwent PPV with this type of RRD.

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Data Availability

Data of our study are availble in check lists.

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Nikookari Eye Hospital, Tabriz University of Medical Science, Abbasi, Tabriz, Iran

    Nazli Taheri, Farideh Mousavi & Mohammad Hossein Ahoor

  2. Nikookari Eye Hospital, Tabriz University of Medical Sciences, Tabriz, Iran

    Atena Latifi

  3. Tabriz University of Medical Science, Tabriz, Iran

    Fatemeh Hedayati

Authors
  1. Nazli Taheri
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  2. Farideh Mousavi
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  3. Mohammad Hossein Ahoor
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  4. Atena Latifi
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  5. Fatemeh Hedayati
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Corresponding author

Correspondence to Farideh Mousavi.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study’s ethical approval code is 94/1–5/16, obtained from Tabriz University of the Medical Science Ethics Committee. This study was performed in line with Helsinki Declaration principle, and all procedures being performed were part of routine care.

Data and material available

This study was done retrospectively, and patients are informed about their data utilizing for investigation in the admission process in our department, and they have given prior written consent.

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Taheri, N., Mousavi, F., Ahoor, M.H. et al. Management of uncomplicated primary retinal rhegmatogenous detachment. Int Ophthalmol 41, 1709–1716 (2021). https://doi.org/10.1007/s10792-021-01729-w

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  • DOI: https://doi.org/10.1007/s10792-021-01729-w

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