Results with eyes stratified by procedure showed that both in the overall population and the subgroup with a complex or high-risk retinal detachment, the success rate was nearly identical comparing eyes operated on with a primary scleral buckle versus with primary vitrectomy with or without scleral buckle.
“There are countless published papers reporting outcomes of retinal detachment repair, and they have variable results,” Dr. Kaiser said. “However, there is tremendous selection bias in each paper, and they generally represent small series with unreliable data that are nontransferable.”
The purpose of this analysis was to establish real-world data on re-attachment rates for patients undergoing primary retinal detachment repair and to determine what to expect in eyes with high-risk or complex retinal detachment diagnoses, according to Dr. Kaiser.
“Answering the age-old question of which is better, primary vitrectomy or primary buckle, was also a key issue that prompted this study,” he said. “Considering that the results with these two approaches were nearly identical in both the whole cohort and the high-risk/complex subgroup, it appears the decision should be the surgeon’s choice.”