title: Pars plana vitrectomy versus combined pars plana vitrectomy and scleral buckle for primary repair of rhegmatogenous retinal detachment.
abstract: OBJECTIVE
  To compare pars plana vitrectomy (PPV) with PPV and scleral buckle (PPV/SB) for repair of rhegmatogenous retinal detachment (RRD).
  
  
  METHODS
  A retrospective chart review.
  
  
  METHODS
  Patients who underwent PPV or PPV/SB for RRD repair at a single institution.
  
  
  METHODS
  A retrospective chart review of patients in two different treatment groups and analysis of the anatomic and functional results.
  
  
  RESULTS
  Single-surgery anatomic success was achieved in 31 of 37 (83.8%) phakic eyes that underwent PPV and in 66 of 68 (97.1%) phakic eyes that underwent PPV/SB (p = 0.0216). Among pseudophakic eyes, 42 of 48 (87.5%) in the PPV group and 62 of 66 (93.9%) in the PPV/SB group achieved single-surgery reattachment (p = 0.3175). Visual acuity improvement was marginally greater in the PPV group among phakic (p = 0.4898) and pseudophakic (p = 0.2465) eyes.
  
  
  CONCLUSIONS
  PPV/SB may be associated with a decreased risk for retinal redetachment when compared to PPV for repair of phakic RRD. In pseudophakic eyes, the anatomic success rate between the two techniques appears to be similar.
authors.affiliation: Retinal Consultants of Arizona, Phoenix, AZ, USA.
authors.forename: Sachin
authors.initials: S
authors.lastname: Mehta
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Blinder
authors.forename: Gaurav K
authors.initials: GK
authors.lastname: Shah
authors.forename: M Gilbert
authors.initials: MG
authors.lastname: Grand
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D019591:Pseudophakia / Q000453:epidemiology*; D020127:Recovery of Function; D012163:Retinal Detachment / Q000453:epidemiology* / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D012591:Scleral Buckling / Q000379:methods* / Q000706:statistics & numerical data; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods* / Q000706:statistics & numerical data