title: Morphological and functional outcome of scleral buckling surgery compared to primary vitrectomy in patients with retinal detachment.
abstract: OBJECTIVE
  Among the proposed operative techniques for retinal detachment (RD) the most commonly applied are classical method with scleral buckling and pars plana vitrectomy (PPV). The aim of this paper was to determine which surgical intervention of these two leads to better morphological results in terms of the applied retina and better functional outcomes in terms of visual acuity (VA) of the operated eye in patients with RD.
  
  
  METHODS
  A retrospective study on the comparative section of the effects of scleral buckling surgery and PPV in uncomplicated rhegmatogenous RD was performed. In a 2-year period 97 patients, i.e. 98 eyes with RD were operated on (68 eyes with scleral buckling surgery vs 30 by PPV).
  
  
  RESULTS
  In the group with classically operated detachment, the retina was applied in 52 (76.5%) cases vs 30 (100%) patients in PPV group (p < 0.05). Postoperative VA in logMAR was significantly better in both groups compared to preoperative VA: in the classically operated was 1.89 ± 1.04 preoperatively vs 0.98 ± 0.70 postoperatively, while in the PPV group, preoperative value was 2.56 ± 0.67 vs 1.31 ± 0.74 postoperatively (p = 0.001).
  
  
  CONCLUSIONS
  PPV in uncomplicated forms of RD gives better anatomical results than scleral buckling surgery. VA was significantly improved in both observed groups, while its mean value was postoperatively better in the group that was operated with the classical method. The reason for this could be due to better VA in baseline in the scleral buckling surgery group.
authors.forename: Miroslav
authors.initials: M
authors.lastname: Stamenković
authors.forename: Ivan
authors.initials: I
authors.lastname: Stefanović
authors.forename: Ivan
authors.initials: I
authors.lastname: Senćanić
authors.forename: Vesna
authors.initials: V
authors.lastname: Jakšić
authors.forename: Milka
authors.initials: M
authors.lastname: Mavija
authors.forename: Siniša
authors.initials: S
authors.lastname: Babović
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D014792:Visual Acuity; D014821:Vitrectomy