The Effect of Combining Scleral Buckle Surgery with Pars Plana Vitrectomy for Treatment of Recurrent Retinal Detachment Secondary to Proliferative Vitreoretinopathy.

Beyoglu Eye Journal Pub Date : 2023-01-01 DOI:10.14744/bej.2023.71224

Husna Topcu, Gurkan Erdogan, Cengiz Alagoz, Zeynep Alkin

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Abstract

Objectives: The objectiove of the study is to evaluate and compare the outcomes of pars plana vitrectomy (PPV) and PPV combined with scleral buckle (SB) in vitrectomised cases with recurrent retinal detachment (RD) and to analyze the effects of adding SB to the procedure.

Methods: Patients with recurrent RD due to grade C proliferative vitreoretinopathy (PVR) were included in this retrospective comparative case series. Patients who underwent re-PPV with or without SB were included and two groups (re-PPV; re-PPV+SB) were compared in terms of anatomical and functional success.

Results: Sixty-five cases were included in the study: 32 underwent re-PPV and 33 underwent re-PPV+SB procedures. Reattachment was achieved in 59.4% of the re-PPV group versus 81.8% of the re-PPV+SB group (p=0.047). Although preoperative BCVA was worse in the re-PPV+SB group (p=0.005), postoperative BCVA at the last visit was similar in both groups (p=0.065).

Conclusion: In the treatment of recurrent RD with grade C PVR, combining the SB procedure with PPV contributes to anatomical and functional outcomes.

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巩膜扣手术联合玻璃体平面部切除术治疗增殖性玻璃体视网膜病变继发性视网膜脱离的疗效观察。

目的:评价和比较玻璃体切除伴复发性视网膜脱离(RD)的玻璃体切除术(PPV)和玻璃体切除联合巩膜扣(SB)的疗效，并分析加巩膜扣的效果。方法:将C级增殖性玻璃体视网膜病变(PVR)引起的复发性RD患者纳入回顾性比较病例系列。包括接受伴或不伴SB的re-PPV的患者，两组(re-PPV;re-PPV+SB)在解剖和功能上的成功比较。结果:65例纳入研究，其中32例行re-PPV手术，33例行re-PPV+SB手术。re-PPV组的再附着率为59.4%，re-PPV+SB组为81.8% (p=0.047)。虽然re-PPV+SB组术前BCVA较差(p=0.005)，但两组术后末次访BCVA相似(p=0.065)。结论:在复发性RD合并C级PVR的治疗中，结合SB手术和PPV有助于解剖学和功能的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Beyoglu Eye Journal

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0.00%

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审稿时长

16 weeks