Comparison of outcome of scleral buckling(SB) versus pars plana vitrectomy(PPV) in cases of single break primary retinal detachment at a large tertiary centre of India
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 9
Abstract
Objective :The aim of our study is to compare the outcome of scleral buckling versus pars plana vitrectomy in cases of single break RDD patients and also study the common side effects post operatively. Mterial and methods :It was done at Retina Unit of a tertiary center in India.it was a randomized, prospective, analytical study in which 86 eyes were divided randomly into two groups, group A who underwent scleral buckling surgery and group B who underwent vitrectomy, were regularly followed up and their reattachment of retina, BCVA and Complications were studied at 6month post operatively. Parameters studied - Patients with attached retina at 6months post operatively - Patients with BCVA improvement greater than 2 lines after 6 months - Frequency of common side effects post operatively Results :The retina was found attached in 93.02% of the patients in group A compared to 74.41% in group B. 88.37% patients achieved target BCVA improvement in group A compared to 69.76% in group B Common side-effects in patients in group A were Sub retinal haemorrhage, Raised IOP, PVR changes and buckle infection whereas those in group B were Cataract, Raised IOP, Redetachment and optic neuropathy. Conclusion :Scleral buckling achieves better results compared to PPV when it comes to treating single break RDD patients.
Authors and Affiliations
Dr. Somesh Aggarwal
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