Surgical complications of primary rhegmatogenous retinal detachment: a meta-analysis

PloS One
Zhiping LvYi Qu

Abstract

To investigate the surgical complications of scleral buckling (SB) and pars plana vitrectomy (PPV) performed on primary rhegmatogenous retinal detachment (RRD) and to discover which surgical procedures bring fewer complications. An electronic literature search using the PubMed database, ISI Web of Knowledge and the Cochrane Central Register of Controlled Trials to identify randomized controlled trials and observational studies comparing SB with PPV on primary RRD. Outcome measures included intra-operative complications and early and late post-operative complications. During the operation, significantly less subretinal hemorrhage occurred in the PPV group than in the SB group (OR = 4.71; 95%CI, 1.33-16.64; p = 0.02) and the hypotony incidence was significantly higher in the SB group (OR = 18.24; 95%CI, 2.37-140.44; p = 0.005); however, the occurrence of iatrogenic breaks was significantly lower in the SB group (OR = 0.05; 95%CI, 0.01-0.21; p<0.0001). In the early stage of post-operation, significantly higher incidence of choroidal detachment was identified in the SB group than in the PPV group (OR = 10.19; 95%CI, 2.36-44.09; p = 0.002); patients undergoing SB had significantly higher odds of residual subretinal fluid (OR = 14.71...Continue Reading

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Citations

Mar 8, 2016·American Journal of Ophthalmology·Chee Wai WongShu Yen Lee
Aug 2, 2016·Journal of Ophthalmology·Yasser Helmy MohamedTakashi Kitaoka
May 5, 2016·Retina·Ramesh VenkateshRahul Mayor
May 31, 2016·Acta Ophthalmologica·Christina Doefler PoulsenAnders Green
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Jan 31, 2021·The British Journal of Ophthalmology·Sumihiro KawanoUNKNOWN Japan-Retinal Detachment Registry Group
Feb 25, 2021·American Journal of Ophthalmology·Aditya BansalRajeev H Muni

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