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- Title
Prospective Study Comparing the Effectiveness of Scleral Buckling to Vitreous Surgery for Rhegmatogenous Retinal Detachment.
- Authors
Masataka Koriyama; Tetsuya Nishimura; Takashi Matsubara; Makoto Taomoto; Kanji Takahashi; Miyo Matsumura
- Abstract
Abstract Purpose To compare the effectiveness of scleral buckling to vitrectomy for the treatment of rhegmatogenous retinal detachment (RRD) due to equatorial retinal tears. Methods Forty-six patients (46 eyes) ≥50 years of age with RRD due to equatorial retinal tears were studied. One group of 23 patients was selected by the randomized envelope method to be treated by scleral buckling and a second group of 23 to be treated by vitrectomy. The rate of retinal reattachment, the visual acuity, optical coherence tomography findings, and postoperative complications were determined. In addition, a questionnaire was filled out by the patients on their subjective assessment of the surgery and recovery. Results The rate of retinal reattachment was identical in the two groups. The postoperative visual acuity, the number of patients with visual acuity ≥0.8 and the mean visual acuity were significantly better in the vitrectomy group (χ-squared and Mann-Whitney U tests, P Conclusion In patients ≥50 years of age, vitrectomy was more effective than scleral buckling for obtaining good visual acuity in the short term. Jpn J Ophthalmol 2007;51:360–367 � Japanese Ophthalmological Society 2007
- Subjects
SCLERA surgery; VITRECTOMY; RETINAL detachment; TEARS (Body fluid); OPHTHALMIC surgery
- Publication
Japanese Journal of Ophthalmology, 2007, Vol 51, Issue 5, p360
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-007-0463-0