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Scleral buckle vs primary vitrectomy in PRDs
Author(s) -
PARIKAKIS EA
Publication year - 2013
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/j.1755-3768.2013.4214.x
Subject(s) - vitrectomy , scleral buckle , medicine , retinal detachment , ophthalmology , proliferative vitreoretinopathy , pseudophakia , retinal , surgery , scleral buckling , intraocular lens , visual acuity
Pseudophakic retinal detachments seem to have a lower rate of surgical repair due to missed retinal breaks and increased risk of proliferative vitreoretinopathy. Scleral buckling is a practically unchanged low‐budget procedure and was the gold standard in the past, but it involves ocular motility disturbances and refractive changes and needs certain surgical skills and experience. Primary small gauge vitrectomy in pseudophakia rapidly gains ground, as it is an easy, controlled surgical technique with less pain and the surgeon feels confident to have a complete intraoperative retinal attachment. In order to find the current role of conventional surgery in pseudophakic retinal detachments, scleral buckling has to be compared with vitrectomy alone as well as the combined procedure of vitrectomy plus encircling band, in terms of reattachment rate, functional outcome, reoperations and proliferative vitreoretinopathy incidence. Young patients, having clear lens extraction for myopia correction and post ‐traumatic cases with ora dialysis seem to be a reasonable group for conventional management.