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ORIGINAL RESEARCH article

Front. Med.
Sec. Ophthalmology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1537416
This article is part of the Research Topic New Concepts, Advances, and Future Trends in Clinical Research on Eye Diseases View all 12 articles

Surgical Interventions for Simple Phakic Fovea-Splitting Rhegmatogenous Retinal Detachment: A Comparative Study of Scleral Buckling and Pars Plana Vitrectomy

Provisionally accepted
Haiqin Zhu Haiqin Zhu Qintuo Pan Qintuo Pan Zhaoliang Zhang Zhaoliang Zhang Zongduan Zhang Zongduan Zhang Xiaoyin Ma Xiaoyin Ma *Xuting Hu Xuting Hu *
  • Affiliated Eye Hospital to Wenzhou Medical University, Wenzhou, China

The final, formatted version of the article will be published soon.

    Aims: To compare the efficiency of scleral buckling (SB) and pars plana vitrectomy (PPV) with or without SB in patients with primary simple phakic fovea-splitting rhegmatogenous retinal detachment (RRD). Methods: A retrospective case-control study included 101 patients aged < 55 years diagnosed with phakic fovea-splitting RRD. The primary outcome was functional success, defined as achieving a postoperative logarithm of the minimum angle of resolution best-corrected visual acuity of 0.3 or better at six months post-surgery. Secondary outcomes included primary and final anatomical success and postoperative complications. Results: Fifty-one eyes underwent SB, and 50 eyes underwent PPV. In the SB group, 31 eyes (60.8%) achieved functional success compared with 22 eyes (44.0%) in the PPV group (P = 0.091). There was no significant difference in the primary anatomical success (SB = 94.1%, PPV = 94.0%) and final anatomical success (SB = 100%, PPV = 100%). The incidences of ocular hypertension, epiretinal proliferation, cystoid macular edema, and persistent subretinal fluid in the SB group were 37.3% (P = 0.059), 5.9% (P = 0.034), 3.9% (P = 0.051), and 74.5% (P < 0.001), respectively, whereas in the PPV group they were 56.0%, 20.0%, 16.0%, and 22.0%, respectively. In multivariable analyses, PPV was significantly associated with epiretinal proliferation formation (OR: 4.000, 95% CI: 1.030–15.534, P = 0.045). Conclusions: SB may offer comparable outcomes to PPV in managing phakic fovea-splitting RRD, and careful surgical technique selection is advised due to postoperative complications.

    Keywords: Fovea-Splitting, Rhegmatogenous retinal detachment, Surgical interventions, Scleral Buckling, Pars plana vitrectomy

    Received: 30 Nov 2024; Accepted: 24 Dec 2024.

    Copyright: © 2024 Zhu, Pan, Zhang, Zhang, Ma and Hu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Xiaoyin Ma, Affiliated Eye Hospital to Wenzhou Medical University, Wenzhou, China
    Xuting Hu, Affiliated Eye Hospital to Wenzhou Medical University, Wenzhou, China

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