Surgical interventions for simple phakic fovea-splitting rhegmatogenous retinal detachment: a comparative study of scleral buckling and pars plana vitrectomy
AimsTo compare the efficiency of scleral buckling (SB) and pars plana vitrectomy (PPV) with or without SB in patients with primary simple phakic fovea-splitting rhegmatogenous retinal detachment (RRD).MethodsA retrospective case–control study included 101 patients aged <55 years diagnosed wit...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2024.1537416/full |
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| author | Haiqin Zhu Qintuo Pan Zhaoliang Zhang Zhaoliang Zhang Zongduan Zhang Zongduan Zhang Xiaoyin Ma Xiaoyin Ma Xuting Hu Xuting Hu |
| author_facet | Haiqin Zhu Qintuo Pan Zhaoliang Zhang Zhaoliang Zhang Zongduan Zhang Zongduan Zhang Xiaoyin Ma Xiaoyin Ma Xuting Hu Xuting Hu |
| author_sort | Haiqin Zhu |
| collection | DOAJ |
| description | AimsTo compare the efficiency of scleral buckling (SB) and pars plana vitrectomy (PPV) with or without SB in patients with primary simple phakic fovea-splitting rhegmatogenous retinal detachment (RRD).MethodsA retrospective case–control study included 101 patients aged <55 years diagnosed with phakic fovea-splitting RRD. The primary outcome was functional success, defined as achieving a postoperative logarithm of the minimum angle of resolution best-corrected visual acuity of 0.3 or better at 6 months post-surgery. Secondary outcomes included primary and final anatomical success and postoperative complications.ResultsFifty-one eyes underwent SB, and 50 eyes underwent PPV. In the SB group, 31 eyes (60.8%) achieved functional success compared with 22 eyes (44.0%) in the PPV group (p = 0.091). There was no significant difference in the primary anatomical success (SB = 94.1%, PPV = 94.0%) and final anatomical success (SB = 100%, PPV = 100%). The incidences of ocular hypertension, epiretinal proliferation, cystoid macular edema, and persistent subretinal fluid in the SB group were 37.3% (p = 0.059), 5.9% (p = 0.034), 3.9% (p = 0.051), and 74.5% (p < 0.001), respectively, whereas in the PPV group they were 56.0, 20.0, 16.0, and 22.0%, respectively. In multivariable analyses, PPV was significantly associated with epiretinal proliferation formation (OR: 4.000, 95% CI: 1.030–15.534, p = 0.045).ConclusionSB may offer comparable outcomes to PPV in managing phakic fovea-splitting RRD, and careful surgical technique selection is advised due to postoperative complications. |
| format | Article |
| id | doaj-art-6471199464f641658879959313fd3a4f |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-6471199464f641658879959313fd3a4f2025-01-10T12:26:19ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.15374161537416Surgical interventions for simple phakic fovea-splitting rhegmatogenous retinal detachment: a comparative study of scleral buckling and pars plana vitrectomyHaiqin Zhu0Qintuo Pan1Zhaoliang Zhang2Zhaoliang Zhang3Zongduan Zhang4Zongduan Zhang5Xiaoyin Ma6Xiaoyin Ma7Xuting Hu8Xuting Hu9National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Visual Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Visual Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Visual Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Visual Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaAimsTo compare the efficiency of scleral buckling (SB) and pars plana vitrectomy (PPV) with or without SB in patients with primary simple phakic fovea-splitting rhegmatogenous retinal detachment (RRD).MethodsA retrospective case–control study included 101 patients aged <55 years diagnosed with phakic fovea-splitting RRD. The primary outcome was functional success, defined as achieving a postoperative logarithm of the minimum angle of resolution best-corrected visual acuity of 0.3 or better at 6 months post-surgery. Secondary outcomes included primary and final anatomical success and postoperative complications.ResultsFifty-one eyes underwent SB, and 50 eyes underwent PPV. In the SB group, 31 eyes (60.8%) achieved functional success compared with 22 eyes (44.0%) in the PPV group (p = 0.091). There was no significant difference in the primary anatomical success (SB = 94.1%, PPV = 94.0%) and final anatomical success (SB = 100%, PPV = 100%). The incidences of ocular hypertension, epiretinal proliferation, cystoid macular edema, and persistent subretinal fluid in the SB group were 37.3% (p = 0.059), 5.9% (p = 0.034), 3.9% (p = 0.051), and 74.5% (p < 0.001), respectively, whereas in the PPV group they were 56.0, 20.0, 16.0, and 22.0%, respectively. In multivariable analyses, PPV was significantly associated with epiretinal proliferation formation (OR: 4.000, 95% CI: 1.030–15.534, p = 0.045).ConclusionSB may offer comparable outcomes to PPV in managing phakic fovea-splitting RRD, and careful surgical technique selection is advised due to postoperative complications.https://www.frontiersin.org/articles/10.3389/fmed.2024.1537416/fullfovea-splittingrhegmatogenous retinal detachmentsurgical interventionsscleral bucklingpars plana vitrectomy |
| spellingShingle | Haiqin Zhu Qintuo Pan Zhaoliang Zhang Zhaoliang Zhang Zongduan Zhang Zongduan Zhang Xiaoyin Ma Xiaoyin Ma Xuting Hu Xuting Hu Surgical interventions for simple phakic fovea-splitting rhegmatogenous retinal detachment: a comparative study of scleral buckling and pars plana vitrectomy Frontiers in Medicine fovea-splitting rhegmatogenous retinal detachment surgical interventions scleral buckling pars plana vitrectomy |
| title | Surgical interventions for simple phakic fovea-splitting rhegmatogenous retinal detachment: a comparative study of scleral buckling and pars plana vitrectomy |
| title_full | Surgical interventions for simple phakic fovea-splitting rhegmatogenous retinal detachment: a comparative study of scleral buckling and pars plana vitrectomy |
| title_fullStr | Surgical interventions for simple phakic fovea-splitting rhegmatogenous retinal detachment: a comparative study of scleral buckling and pars plana vitrectomy |
| title_full_unstemmed | Surgical interventions for simple phakic fovea-splitting rhegmatogenous retinal detachment: a comparative study of scleral buckling and pars plana vitrectomy |
| title_short | Surgical interventions for simple phakic fovea-splitting rhegmatogenous retinal detachment: a comparative study of scleral buckling and pars plana vitrectomy |
| title_sort | surgical interventions for simple phakic fovea splitting rhegmatogenous retinal detachment a comparative study of scleral buckling and pars plana vitrectomy |
| topic | fovea-splitting rhegmatogenous retinal detachment surgical interventions scleral buckling pars plana vitrectomy |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1537416/full |
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