Citation:Qin B,Huang LN,Zhao TY,Cheng HB.Combined scleral buckle and vitrectomy as a primary surgery for pseudophakic and aphakic retinal detachments.Int J Ophthalmol 2008;1(2):117-118,doi:
Combined scleral buckle and vitrectomy as a primary surgery for pseudophakic and aphakic retinal detachments
Received:April 16, 2008  Revised:May 01, 2008
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Key Words:pseudophakic/aphakic  retinal detachment  scleral buckle  vitrectomy
Fund Project:Combined scleral buckle and vitrectomy as a primary surgery for pseudophakic and aphakic retinal detachments. Int J Ophthalmol 2008;1(2):117-118
           
AuthorInstitution
Bo Qin Shenzhen Ophthalmic Center, Medical School of Jinan University, Shenzhen Eye Hospital, Shenzhen ,Guangdong Province, China
Li-Na Huang Shenzhen Ophthalmic Center, Medical School of Jinan University, Shenzhen Eye Hospital, Shenzhen ,Guangdong Province, China
Tie-Ying Zhao Shenzhen Ophthalmic Center, Medical School of Jinan University, Shenzhen Eye Hospital, Shenzhen ,Guangdong Province, China
Hong-Bo Cheng Shenzhen Ophthalmic Center, Medical School of Jinan University, Shenzhen Eye Hospital, Shenzhen ,Guangdong Province, China
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Abstract:
      AIM: To determine whether a combined scleral buckle and pars plana vitrectomy, as a primary surgery, owns any advantage over a single scleral buckling in pseudophakic and aphakic retinal detachments.

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    METHODS: Thirty consecutive pseudophakic/aphakic retinal detachments were included in this retrospective study. Each patient underwent combined scleral buckle and pars plana vitrectomy, and was followed up for 3 to 14 months. Patients were examined with respect to anatomic reattachment, visual acuity improvement, and surgical complications.

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    RESULTS: All eyes were anatomically reattached after the first operation. All patients had an increase in their visual acuity, and there were no complications attributable to the vitrectomy procedure.

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    CONCLUSION: A combined surgery for primary pseudophakic/ aphakic retinal detachments offers significant benefits to scleral buckling alone. The improved success rate is contributing to the function of vitrectomy, which improves peripheral visibility and reduces the occurrence of proliferative vitreoretinopathy (PVR).

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