Due to a lack of data, no statistical analysis concerning myopia could be performed. The preoperative retinal situation was documented in detail (extension of the detachment, number and location of retinal breaks, presence of retinal breaks between the 4 and 8 o'clock position (i.e., inferior breaks), involvement of the macula, and proliferative vitreoretinopathy). General clinical data like age, gender, duration of symptoms, lens status (phakic, pseudophakic), presence of high myopia (i.e., myopia <-6 dpt), and BCVA converted into Logarithm of the Minimum Angle of Resolution (LogMAR) preoperatively and at last follow-up was collected. With the help of this questionnaire, we received information on the following questions: To get informed about long-term clinical outcome after the in-patient treatment, the resident ophthalmologists were asked to complete a questionnaire. Based on fundus drawings and notes of surgical reports, detailed information was collected concerning pre- and intraoperative findings. Pre-, intra-, and postoperative findings were documented. For the data collection, the information of patients file was used. Finally, the study included 155 patients with a mean follow-up period of more than 5 years. To obtain a more homogenous patient collective, complicated retinal conditions that primarily required an oil-endotamponade were also factored out. Tractional-, serous-, and posttraumatic detachments were also ruled out of the analysis. Patients with a proliferative vitreoretinopathy (PVR) grade B or C, giant tears, macular holes, or previous retinal surgery were excluded. Patients with uncomplicated RRD were enrolled in the study. ![]() Data from patients who were treated because of primary RRD between January 2006 and June 2008 were collected retrospectively and analyzed after application of exclusion criteria. Before the data analysis took place, ethics committee approval in accordance with the Declaration of Helsinki was obtained. This retrospective analysis is performed to inform about the long-term results of scleral buckling and pars plana vitrectomy in patients with a primary rhegmatogenous retinal detachment (RRD) up to medium complexity. As the indications of the surgical procedures are in part different as described in the methods sections, no randomization or direct comparison of both methods is warranted. This study was performed to analyze real-life data in the surgical management of retinal detachment. Furthermore, this study was designed to investigate if there is a benefit of vitrectomy with an additional encircling band in cases with inferior located retinal breaks. Secondly this study is intended to answer if eyes, treated with scleral buckle only, develop more frequently a long-term recurrence of retinal detachment because of the remaining of the pathologic vitreous body with its potential tractional forces. This study was prepared in order to record and analyze the long-term course after a retinal detachment surgery at a time when the vitrectomy seems to displace the hump technique more and more. ![]() ![]() ![]() Both surgical methods should be checked regularly for their applicability and then put into context with the real situation. This retrospective clinical follow-up study is set up to show short- and long-term results and clinical outcome of retinal detachment surgery in a regular setting of a tertiary eye clinic. However, most of the studies only cover a short follow-up period. Scleral buckling (SB) and pars plana vitrectomy (PPV) have shown similar functional and anatomical results in the treatment of retinal detachment.
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