Pars plana vitrectomy with endolaser barrage 360° versus pars plana vitrectomy with scleral buckle for treatment of primary retinal detachment with inferior breaks

Abstract

Purpose The aim of the study was to compare intraoperative and postoperative complications and the recurrence rate after pars plana vitrectomy (PPV) with endolaser barrage 360° compared with PPV with scleral buckle (SB) for primary retinal detachment (RD) with inferior breaks. Patients and methods This prospective randomized study evaluated postoperative results in 40 patients with primary RD with inferior breaks. They presented with primary RD with inferior breaks and were divided into two groups, each group including 20 patients; the first group was treated by means of PPV with endolaser barrage 360°, and the second group was treated by means of PPV with SB. Intraoperative and postoperative complications and recurrence rate were recorded. Follow-up was carried out for 3 months. Results The mean age of patients in the first group was 56.2 years, whereas the mean age of patients in the second group was 55.3 years. Recurrent RD occurred in 10% of cases in the first group and in 5% of cases in the second group. Success rate was 90% (18 of 20 cases) in the first group and 95% (19 of 20 cases) in the second group. Conclusion Acceptable success rates can be achieved using PPV with endolaser barrage 360° to treat RD with inferior breaks. Supplementary SB is unnecessary to support the inferior retina as endolaser barrage with silicon oil and good positioning achieve tempo nade of the inferior breaks satisfactorily. Further, PPV with endolaser barrage 360° has fewer intraoperative and postoperative complications compared with PPV with SB.