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Scleral buckling versus vitrectomy for young japanese patients with rhegmatogenous retinal detachment in the era of microincision surgery: real‐world evidence from a multicentre study in Japan
Author(s) -
Shu Ingen,
Ishikawa Hiroto,
Nishikawa Hiroki,
Morikawa Shohei,
Okamoto Fumiki,
Sakamoto Taiji,
Sugimoto Masahiko,
Kondo Mineo,
Iwasaki Masanori,
Kinoshita Takamasa,
Toibana Toshi,
Mitamura Yoshinori,
Takamura Yoshihiro,
Motohashi Ryosuke,
Shimura Masahiko,
Sakurai Yutaka,
Takeuchi Masaru,
Gomi Fumi
Publication year - 2019
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.14050
Subject(s) - vitrectomy , medicine , retinal detachment , pars plana , scleral buckling , proliferative vitreoretinopathy , ophthalmology , medical record , incidence (geometry) , retrospective cohort study , surgery , retinal , visual acuity , physics , optics
Abstract Purpose To evaluate real‐world evidence for young Japanese patients with rhegmatogenous retinal detachment ( RRD ) by retrospectively examining surgical procedures and clinical outcomes in the Japan Clinical Retina Study group. Methods This was a multicentre retrospective study of the medical records of 562 young patients (384 males and 178 females; mean age: 33.0 ± 11.8 years) who had been diagnosed with RRD and who underwent surgical procedures in participating centres during the period between April 2013 and August 2016. Results The selected surgeries were scleral buckling ( SB ) for 295 eyes (49.7%) and pars plana vitrectomy ( PPV ) for 262 eyes (44.1%). Between the two surgical procedures, there was no significant difference in the primary anatomical reattachment rate (PARR, SB = 92.2%, PPV = 93.9%); improvements in vision were noted in both groups. The incidences of proliferative vitreoretinopathy and cataract formation within 1 year of PPV were 2.3% (p = 0.0047) and 6.5% (p = 0.0005), whereas they were 0% and 1.0% in the SB group, respectively. Conclusion Scleral buckling ( SB ) and PPV were chosen with almost equal frequency for young patients with RRD . Clinical outcomes for SB and PPV exhibited a similar PARR. The incidence of cataract formation after PPV may constitute an important limitation of the procedure.