The Efficacy of Pars Plana Vitrectomy on Recurrent or Remained Retinal Detachment After Primary Scleral Buckle

ABSTRACT

PURPOSE: To evaluate the efficacy of pars plana vitrectomy on the retinal reattachment for the patients who have suffered from recurrent or remained retinal detachment (RD) although they had undergone scleral buckling procedures for their rhegmatogenous retinal detachment. METHODS: With retrospective chart review of 14 patients with recurrent or persisted RD who underwent pars plana vitrectomy, the authors checked the reattachment rate, their visual recovery state, and complicated disorders during and after the surgeries. All eyes had undergone scleral buckling procedure during primary repair. RESULTS: Anatomic success was achieved after the initial reoperation in 10 (71.5%) eyes. With further surgery, the overall success rate was 85.1% (12 eyes). Visual acuity was improved in 4 eyes, worse in 8 eyes. CONCLUSIONS: These results suggest that pars plana vitrectomy may be an efficient surgical procedure for retinal reattachment in cases of recurrent or persisted RD after primary scleral buckle.