Ehab Mohamed Elsayed Mohamed Saad
Lecturer
Comparative Study of Combined Pars Plana Vitrectomy-Scleral Buckle versus Pars Plana Vitrectomy in Cases of Inferior Retinal Break with Proliferative Vitreoretinopathy
• 2024
Publication Information
Authors
1Prof. Dr. Hamdy Ahmed Abdou Elgazzar, 2Prof. Dr. Sherif Abbas Dabour, 3Assist. Prof.Dr.Mohamed Anani Elsayed Yousef, 4Assist. Prof. Dr.Ahmed Abdelshafy Mohammady Tabl, 5EhabMohamed Elsayed Mohamed Saad
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Abstract
Background: The Researchers have compared the safety and effectiveness of pars plana vitrectomy with
scleral buckle (PPV-SB) to pars plana vitrectomy (PPV) without scleral buckle, and the use of scleral
buckle is only a matter of discussion among surgeons when it comes to complex retinal detachment
surgery. In instances with inferior retinal break complicated with Proliferative Vitreoretinopathy, this study
aimed to compare the surgical outcomes of combination PPV-SB versus PPV alone using optical coherence
tomography (PVR). We used a prospective, randomised controlled trial design to examine the outcomes of
surgical repair of retinal detachment in 58 eyes that had an inferior break and posterior vitreous recession
(PVR) (RD). Each patient was randomly assigned to one of two groups: Treatment in Group A included
both PPV and SB. Only PPV was performed on Group B. The results showed that in group A, there were
no notable differences between the two groups in terms of age, sex, laterality, axial length < 26mm,
intraocular pressure (IOP) before surgery, IOP three months later, lens status before surgery, macula status
before surgery, and preoperative posterior vitreous refraction grading. Individuals in group B who had a
successful single surgery had axial lengths that were noticeably greater than 26mm. There were no notable
changes between the groups in terms of age, sex, laterality, intraocular pressure (IOP) before surgery, IOP
three months after surgery, lens status before surgery, macula status before surgery, or preoperative visual
acuity (PVR) grade. Conclusion: For patients with inferior breaks and PVR, restoring retinal detachment
can be accomplished with either PPV alone or PPV combined with SB. Both surgical techniques are valid
and have comparable outcomes.
scleral buckle (PPV-SB) to pars plana vitrectomy (PPV) without scleral buckle, and the use of scleral
buckle is only a matter of discussion among surgeons when it comes to complex retinal detachment
surgery. In instances with inferior retinal break complicated with Proliferative Vitreoretinopathy, this study
aimed to compare the surgical outcomes of combination PPV-SB versus PPV alone using optical coherence
tomography (PVR). We used a prospective, randomised controlled trial design to examine the outcomes of
surgical repair of retinal detachment in 58 eyes that had an inferior break and posterior vitreous recession
(PVR) (RD). Each patient was randomly assigned to one of two groups: Treatment in Group A included
both PPV and SB. Only PPV was performed on Group B. The results showed that in group A, there were
no notable differences between the two groups in terms of age, sex, laterality, axial length < 26mm,
intraocular pressure (IOP) before surgery, IOP three months later, lens status before surgery, macula status
before surgery, and preoperative posterior vitreous refraction grading. Individuals in group B who had a
successful single surgery had axial lengths that were noticeably greater than 26mm. There were no notable
changes between the groups in terms of age, sex, laterality, intraocular pressure (IOP) before surgery, IOP
three months after surgery, lens status before surgery, macula status before surgery, or preoperative visual
acuity (PVR) grade. Conclusion: For patients with inferior breaks and PVR, restoring retinal detachment
can be accomplished with either PPV alone or PPV combined with SB. Both surgical techniques are valid
and have comparable outcomes.