1. Scleral buckling versus vitrectomy for young japanese patients with rhegmatogenous retinal detachment in the era of microincision surgery: real‐world evidence from a multicentre study in Japan.
- Author
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Shu, Ingen, Ishikawa, Hiroto, Nishikawa, Hiroki, Morikawa, Shohei, Okamoto, Fumiki, Sakamoto, Taiji, Sugimoto, Masahiko, Kondo, Mineo, Iwasaki, Masanori, Kinoshita, Takamasa, Toibana, Toshi, Mitamura, Yoshinori, Takamura, Yoshihiro, Motohashi, Ryosuke, Shimura, Masahiko, Sakurai, Yutaka, Takeuchi, Masaru, and Gomi, Fumi
- Subjects
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RETINAL detachment , *VITRECTOMY , *RETINAL surgery , *MECHANICAL buckling , *PROLIFERATIVE vitreoretinopathy , *OPERATIVE surgery , *SURGERY - Abstract
Purpose: To evaluate real‐world evidence for young Japanese patients with rhegmatogenous retinal detachment (RRD) by retrospectively examining surgical procedures and clinical outcomes in the Japan Clinical Retina Study group. Methods: This was a multicentre retrospective study of the medical records of 562 young patients (384 males and 178 females; mean age: 33.0 ± 11.8 years) who had been diagnosed with RRD and who underwent surgical procedures in participating centres during the period between April 2013 and August 2016. Results: The selected surgeries were scleral buckling (SB) for 295 eyes (49.7%) and pars plana vitrectomy (PPV) for 262 eyes (44.1%). Between the two surgical procedures, there was no significant difference in the primary anatomical reattachment rate (PARR, SB = 92.2%, PPV = 93.9%); improvements in vision were noted in both groups. The incidences of proliferative vitreoretinopathy and cataract formation within 1 year of PPV were 2.3% (p = 0.0047) and 6.5% (p = 0.0005), whereas they were 0% and 1.0% in the SB group, respectively. Conclusion: Scleral buckling (SB) and PPV were chosen with almost equal frequency for young patients with RRD. Clinical outcomes for SB and PPV exhibited a similar PARR. The incidence of cataract formation after PPV may constitute an important limitation of the procedure. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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