title: Comparison of scleral buckling and vitrectomy using wide angle viewing system for rhegmatogenous retinal detachment in patients older than 35 years.
abstract: BACKGROUND
  To compare scleral buckling (SB) and pars plana vitrectomy (PPV) using a wide angle viewing system (WAVS) for uncomplicated phakic rhegmatogenous retinal detachment (RRD).
  
  
  METHODS
  The medical records of patients with uncomplicated phakic RRD were retrospectively reviewed. Eyes with pseudophakic or attached fovea were excluded. Patients treated with SB were classified as group B, and PPV using WAVS as group V. Primary success rate, visual acuity (VA), macular complications, and sustained subretinal fluid (SRF) were compared between groups.
  
  
  RESULTS
  Seventy-two eyes were included in group B and 57 eyes in group V. Group B had better preoperative VA (1.38 ± 0.87 vs 1.84 ± 0.97 in LogMAR, P = 0.010), but worse final VA (0.51 ± 0.48 vs 0.30 ± 0.23, P = 0.012) than group V. The primary success rate of 94.7 % in group V was higher than 77.8 % in group B (P = 0.010). Final success rate was 100 % in both groups. There was no significant difference in macular complications between groups (P = 0.087). Sustained SRF was found in 22 eyes in group B (38.6 %), while only two eyes in group V exhibited sustained SRF (2.8 %, P < 0.001).
  
  
  CONCLUSIONS
  Pars plana vitrectomy using WAVS was more efficacious than SB for treating uncomplicated phakic RRD.
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Pusan, South Korea. oph97@naver.com.|Biomedical Research Institute, Pusan National University Hospital, Pusan, South Korea. oph97@naver.com.
authors.forename: Sung Who
authors.initials: SW
authors.lastname: Park
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Pusan, South Korea. khdd97@hanmail.net.
authors.forename: Han Jo
authors.initials: HJ
authors.lastname: Kwon
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Pusan, South Korea. hoyun0215@naver.com.
authors.forename: Ho Yun
authors.initials: HY
authors.lastname: Kim
authors.affiliation: Department of Ophthalmology, Pusan National University Yangsan Hospital, Yangsan, South Korea. isbyon@naver.com.
authors.forename: Ik Soo
authors.initials: IS
authors.lastname: Byon
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Pusan, South Korea. jlee@pusan.ac.kr.|Medical Institute, School of Medicine, Pusan National University, Pusan, South Korea. jlee@pusan.ac.kr.|Biomedical Research Institute, Pusan National University Hospital, Pusan, South Korea. jlee@pusan.ac.kr.
authors.forename: Ji Eun
authors.initials: JE
authors.lastname: Lee
authors.affiliation: Department of Ophthalmology, Pusan National University Hospital, Pusan, South Korea. bsoum@pusan.ac.kr.
authors.forename: Boo Sup
authors.initials: BS
authors.lastname: Oum
mesh_terms: D000328:Adult; D000368:Aged; D058450:Endotamponade; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000379:methods*; D012827:Silicone Oils / Q000008:administration & dosage; D058471:Subretinal Fluid; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*
chemical_list: D005466:Fluorocarbons; D012827:Silicone Oils; C042852:perflutren; D013459:Sulfur Hexafluoride