However, scleral buckling, vitrectomy, or a combination of both resulted in an initially better anatomical success rate and fewer operative procedures than pneumatic retinopexy. Postoperative visual acuity at 1 year did not differ among the various techniques used to repair primary rhegmatogenous retinal detachments. Complication rates varied among the techniques used. There was no statistically significant difference in final visual acuity between the four groups. Although patients undergoing pneumatic retinopexy had a lower initial success rate, there was no statistically significant difference in initial reattachment rates between the other three groups. Together you can determine what procedure or combination of procedures is best for you. Ask your ophthalmologist about the risks and benefits of your treatment options. 7 Later, Gonin described the critical role of retinal breaks in the pathogenesis of RD. The first description of the use of tamponade agents in the treatment of RD was given by Ohm in 1911, who reported successful treatment of two patients using intravitreal injection of sterile air, although he did not use the term tamponade. Initial success rate for retinal reattachment was 86% for scleral buckling only, 90% for vitrectomy only, 94% for the combination of scleral buckling and vitrectomy, and 63% for pneumatic retinopexy surgery. Surgery is almost always used to repair a retinal tear, hole or detachment. History of tamponade in retinal detachment surgery. Findings In this systematic review and meta-analysis of 36 studies (3720 eyes), retinal reattachment is high, but final vision is low. Reattachment success rates, pre- and postoperative visual acuity, complications, and change in refractive error were reviewed. Question What are the outcomes of pars plana vitrectomy for the treatment of diabetic tractional retinal detachment (dTRD), and what patient and surgical characteristics determine them. All patients completed 1-year follow-up and were divided into 4 groups: 322 patients underwent scleral buckling surgery, 442 patients underwent pars plana vitrectomy surgery, 316 patients underwent a combination of scleral buckling and vitrectomy surgery, and 56 patients underwent pneumatic retinopexy surgery for the primary repair of retinal detachment. The treatment success rate is high, with around nine out of 10 retinas able to be reattached. Retinal detachment surgery involves reattaching the retina to the back of the eye and sealing any breaks or holes in the retina. A total of 1,226 patients with primary retinal detachment were included in the study. Retinal detachment means the retina has separated from the back of the eye. Retrospective interventional comparative case series. To compare functional and anatomical outcomes of modern methods of repair of primary retinal detachment.
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