TY - JOUR
T1 - Re-Vitrectomy versus Combined Re-Vitrectomy with Scleral Buckling for Pediatric Recurrent Retinal Detachment
AU - Al Abdulsalm, Omar
AU - Al Habboubi, Hussain
AU - Mura, Marco
AU - Al-Abdullah, Abdulelah
N1 - Funding Information: The study’s abstract was presented as a Scientific Poster at the 18th European Vitreoretinal Society Meeting, Prague, Czech Republic (August 30 – September 02, 2018). Publisher Copyright: © 2022 Al Abdulsalm et al.
PY - 2022
Y1 - 2022
N2 - Purpose: To compare re-vitrectomy versus combined re-vitrectomy with scleral buckling (SB) for pediatric recurrent rhegmatogenous retinal detachment (RRD) following failed primary pars plana vitrectomy (PPV). Methods: This was a retrospective, comparative case series of pediatric patients (under 18 years) who underwent secondary RRD procedures after failed primary PPV. Patients were divided into the re-vitrectomy and the combined re-vitrectomy with SB groups. The primary outcome was the anatomical success rate for each procedure. The secondary outcomes were changes in best-corrected visual acuity (BCVA) and postoperative complications. Results: In the re-vitrectomy group (30 eyes), the final anatomical success rate was 83.3% (25/30) after a mean follow-up of 21.7 + 6.9 months. The final anatomical success rate in the combined re-vitrectomy/SB group (23 eyes) was 73.9% (17/23) after a mean follow-up of 26.5 + 7.7 months. There was no statistically significant difference in the final anatomical success rate (P = 0.41) and the mean change in BCVA (P = 0.37) between the two groups. Even though not statistically significant, the combined re-vitrectomy/SB group had a lower incidence of postoperative complications (P = 0.25). Conclusion: Re-vitrectomy alone provides similar anatomical and functional outcomes to combined re-vitrectomy/SB for pediatric recurrent RRD after failed primary PPV.
AB - Purpose: To compare re-vitrectomy versus combined re-vitrectomy with scleral buckling (SB) for pediatric recurrent rhegmatogenous retinal detachment (RRD) following failed primary pars plana vitrectomy (PPV). Methods: This was a retrospective, comparative case series of pediatric patients (under 18 years) who underwent secondary RRD procedures after failed primary PPV. Patients were divided into the re-vitrectomy and the combined re-vitrectomy with SB groups. The primary outcome was the anatomical success rate for each procedure. The secondary outcomes were changes in best-corrected visual acuity (BCVA) and postoperative complications. Results: In the re-vitrectomy group (30 eyes), the final anatomical success rate was 83.3% (25/30) after a mean follow-up of 21.7 + 6.9 months. The final anatomical success rate in the combined re-vitrectomy/SB group (23 eyes) was 73.9% (17/23) after a mean follow-up of 26.5 + 7.7 months. There was no statistically significant difference in the final anatomical success rate (P = 0.41) and the mean change in BCVA (P = 0.37) between the two groups. Even though not statistically significant, the combined re-vitrectomy/SB group had a lower incidence of postoperative complications (P = 0.25). Conclusion: Re-vitrectomy alone provides similar anatomical and functional outcomes to combined re-vitrectomy/SB for pediatric recurrent RRD after failed primary PPV.
KW - pars plana vitrectomy
KW - pediatric rhegmatogenous retinal detachment
KW - re-vitrectomy
KW - recurrent retinal detachment
KW - scleral buckle
UR - http://www.scopus.com/inward/record.url?scp=85127643398&partnerID=8YFLogxK
U2 - https://doi.org/10.2147/OPTH.S356993
DO - https://doi.org/10.2147/OPTH.S356993
M3 - Article
C2 - 35345825
SN - 1177-5467
VL - 16
SP - 877
EP - 884
JO - Clinical ophthalmology (Auckland, N.Z.)
JF - Clinical ophthalmology (Auckland, N.Z.)
ER -