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The Declining Use of Scleral Buckling With Vitrectomy for Primary Retinal Detachments

The Declining Use of Scleral Buckling With Vitrectomy for Primary Retinal Detachments CONTROVERSIES The Declining Use of Scleral Buckling With Vitrectomy for Primary Retinal Detachments Deborah Y. Chong, MD; Dwain G. Fuller, MD, JD HE EVOLUTION OF PARS plex rhegmatogenous RDs was estab- detachment, particularly in rheg- plana vitrectomy lished. Although PPV was initially used matogenous RDs in phakic eyes in (PPV) as a primary with SB for complex detachments, iso- which shaving the vitreous base may technique for the re- lated instances of PPV and gas tampon- be more difficult or in young eyes that T pair of rhegmatog- ade alone were reported. A seminal do not yet have a complete posterior enous retinal detachment (RD) with- report by Escoffery et al in 1985 de- vitreous detachment. Other suggested out concomitant scleral buckling (SB) scribed 29 cases of primary rhegmatog- indications for adding an SB to a PPV suggests that physician perception enous RD treated by PPV alone, with include rhegmatogenous RDs associ- and patient preferences may be chang- a 79% single-operation success rate ated with inferior breaks that may not ing. We argue that PPV alone may (SOSR), a 93% reattachment rate af- undergo adequate tamponade with in- lead to successful surgical outcomes ter 2 operations, and visual acuity http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

The Declining Use of Scleral Buckling With Vitrectomy for Primary Retinal Detachments

JAMA Ophthalmology , Volume 128 (9) – Sep 1, 2010

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/archophthalmol.2010.190
pmid
20837808
Publisher site
See Article on Publisher Site

Abstract

CONTROVERSIES The Declining Use of Scleral Buckling With Vitrectomy for Primary Retinal Detachments Deborah Y. Chong, MD; Dwain G. Fuller, MD, JD HE EVOLUTION OF PARS plex rhegmatogenous RDs was estab- detachment, particularly in rheg- plana vitrectomy lished. Although PPV was initially used matogenous RDs in phakic eyes in (PPV) as a primary with SB for complex detachments, iso- which shaving the vitreous base may technique for the re- lated instances of PPV and gas tampon- be more difficult or in young eyes that T pair of rhegmatog- ade alone were reported. A seminal do not yet have a complete posterior enous retinal detachment (RD) with- report by Escoffery et al in 1985 de- vitreous detachment. Other suggested out concomitant scleral buckling (SB) scribed 29 cases of primary rhegmatog- indications for adding an SB to a PPV suggests that physician perception enous RD treated by PPV alone, with include rhegmatogenous RDs associ- and patient preferences may be chang- a 79% single-operation success rate ated with inferior breaks that may not ing. We argue that PPV alone may (SOSR), a 93% reattachment rate af- undergo adequate tamponade with in- lead to successful surgical outcomes ter 2 operations, and visual acuity

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Sep 1, 2010

References