title: Pars plana vitrectomy versus combined pars plana vitrectomy-scleral buckle for secondary repair of retinal detachment.
abstract: OBJECTIVE
  To investigate the optimal technique for repairing recurrent rhegmatogenous retinal detachments.
  
  
  METHODS
  A 2-year retrospective review of recurrent rhegmatogenous retinal detachments by 23-gauge pars plana vitrectomy (PPV) or combined 23-gauge PPV with encircling scleral buckling was performed. The primary outcome was anatomical success. The secondary outcome was the likelihood of achieving a final best corrected visual acuity of 6/12 or better at 6-month follow-up.
  
  
  RESULTS
  Anatomical success was achieved in 65.2% (95% CI, 53.4% to 75.4%) of the PPV group versus 74.3% (95% CI, 57.9% to 85.8%) of the PPV-scleral buckling group with one additional procedure (not statistically significant). There was no significant difference in the likelihood of achieving a final acuity of at least 6/12 between groups at 6-month follow-up.
  
  
  CONCLUSIONS
  The results of our study do not demonstrate a superiority of method of primary repair, or of one method of secondary repair, over another.
authors.affiliation: Sydney Eye Hospital, Sydney Medical School, University of Sydney, 8 Macquarie Street, Sydney NSW 2000, Australia. ryanbradfordrush21@hotmail.com
authors.forename: Ryan B
authors.initials: RB
authors.lastname: Rush
authors.forename: Matthew P
authors.initials: MP
authors.lastname: Simunovic
authors.forename: Saumil
authors.initials: S
authors.lastname: Sheth
authors.forename: Assaf
authors.initials: A
authors.lastname: Kratz
authors.forename: Alex P
authors.initials: AP
authors.lastname: Hunyor
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012163:Retinal Detachment / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000379:methods*; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*