Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment
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 morpho...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2014-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501410920S.pdf |
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| author | Stamenković Miroslav Stefanović Ivan Senćanić Ivan Jakšić Vesna Mavija Milka Babović Siniša |
| author_facet | Stamenković Miroslav Stefanović Ivan Senćanić Ivan Jakšić Vesna Mavija Milka Babović Siniša |
| author_sort | Stamenković Miroslav |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-c8eeb0e3eb524003b8b2928a0c13e329 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-c8eeb0e3eb524003b8b2928a0c13e3292025-08-20T02:19:41ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502014-01-01711092092410.2298/VSP1410920S0042-84501410920SMorphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachmentStamenković Miroslav0Stefanović Ivan1Senćanić Ivan2Jakšić Vesna3Mavija Milka4Babović Siniša5Clinical Center Zvezdara, Eye Clinic, BelgradeFaculty of Medicine, BelgradeClinical Center Zvezdara, Eye Clinic, BelgradeClinical Center Zvezdara, Eye Clinic, Belgrade + Faculty of Medicine, BelgradeUniversity Eye Clinic, Banjaluka, Republic of Srpska, Bosnia and HerzegovinaClinical Center Zvezdara, Eye Clinic, BelgradeBackground/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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501410920S.pdfretinal detachmentscleral bucklingvitrectomyvisualacutytreatment outcome |
| spellingShingle | Stamenković Miroslav Stefanović Ivan Senćanić Ivan Jakšić Vesna Mavija Milka Babović Siniša Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment Vojnosanitetski Pregled retinal detachment scleral buckling vitrectomy visualacuty treatment outcome |
| title | Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment |
| title_full | Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment |
| title_fullStr | Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment |
| title_full_unstemmed | Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment |
| title_short | Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment |
| title_sort | morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment |
| topic | retinal detachment scleral buckling vitrectomy visualacuty treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501410920S.pdf |
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