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Vitrectomy potentially better than scleral buckle in pseudophakic eyes with detachment
Primary pars plana vitrectomy offers “potential advantages” over scleral buckle surgery in patients with pseudophakic retinal detachment, according to a prospective study.
Periklis D. Brazitikos, MD, and colleagues randomly assigned 150 eyes of 150 patients with pseudophakic retinal detachment and proliferative vitreoretinopathy to scleral buckle surgery or primary pars plana vitrectomy.
The potential advantages of primary vitrectomy over scleral buckle included shorter operating time, a more accurate diagnosis of breaks, a higher reattachment with a single surgery and no axial length change, the study authors said.
Final visual acuity and retinal reattachment rates with multiple surgeries were similar between the two surgical procedures.
The study is published in the December issue of Retina.