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Background/Aim. Among the proposed operative techniques for retinal   detachment (RD) the most commonly applied are classical method with scleral   buckling and pars plana vitrectomy (PPV). The aim of this paper was to   determine which surgical intervention of these two leads to better   morphological results in terms of the applied retina and better functional   outcomes in terms of visual acuity (VA) of the operated eye in patients with   RD. Methods. A retrospective study on the comparative section of the effects   of scleral buckling surgery and PPV in uncomplicated rhegmatogenous RD was   performed. In a 2-year period 97 patients, i.e. 98 eyes with RD were operated   on (68 eyes with scleral buckling surgery vs 30 by PPV). Results. In the   group with classically operated detachment, the retina was applied in 52   (76.5%) cases vs 30 (100%) patients in PPV group (p < 0.05). Postoperative VA   in logMAR was significantly better in both groups compared to preoperative   VA: in the classically operated was 1.89 ± 1.04 preoperatively vs 0.98 ± 0.70   postoperatively, while in the PPV group, preoperative value was 2.56 ± 0.67   vs 1.31 ± 0.74 postoperatively (p = 0.001). Conclusion. PPV in uncomplicated   forms of RD gives better anatomical results than scleral buckling surgery. VA   was significantly improved in both observed groups, while its mean value was   postoperatively better in the group that was operated with the classical   method. The reason for this could be due to better VA in baseline in the   scleral buckling surgery group

Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment