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Abstract：
To compare the effectiveness and safety of scleral buckling and pars plana vitrectomy in treating retinal detachment without posterior vitreous detachment. A total of 88 eyes of 83 patients with retinal detachment without prior posterior vitreous detachment were investigated retrospectively. Group A comprised patients who underwent scleral buckling (n = 47) and Group B (n = 36) patients who were treated with pars plana vitrectomy. Anatomical success, postoperative visual acuity, and ocular adverse events were evaluated. The primary and final anatomical success rate showed a nonsignificant difference (p = 0.465 and p = 0.37 respectively). No significant difference was observed in the reoperation rate or development of epiretinal membrane between the groups (p = 0.254 and p = 0.254 respectively). However, scleral buckling resulted in significantly better visual acuity at the last follow-up (0.12 ± 0.23) compared to pars plana vitrectomy (0.37 ± 0.46, p = 0.001). The incidence of cataract progression was also significantly higher in the pars plana vitrectomy group (46%) compared to the scleral buckling group (10%, p < 0.001). Scleral buckling and pars plana vitrectomy show similar success rates in treating retinal detachment without vitreous detachment. However, due to less cataract progression and better visual acuity outcomes, scleral buckling is recommended for these cases. Determining vitreous status before surgery is crucial for optimal outcomes.
摘要：
比较巩膜扣带术和平坦部玻璃体切除术治疗无玻璃体后脱离的视网膜脱离的有效性和安全性。回顾性调查了83例视网膜脱离患者的88只眼，而先前没有玻璃体后脱离。A组包括接受巩膜扣带术的患者（n=47）和接受平坦部玻璃体切除术治疗的B组（n=36）。解剖学上的成功，术后视力,并评估眼部不良事件.主要和最终解剖成功率显示无显着差异（分别为p=0.465和p=0.37）。两组的再手术率或视网膜前膜发育无明显差异（分别为p=0.254和p=0.254）。然而,与平坦部玻璃体切除术（0.37±0.46，p=0.001）相比，巩膜扣带术在最后一次随访中的视力显着提高（0.12±0.23）。与巩膜屈曲组相比，平坦部玻璃体切除术组（46％）的白内障进展发生率也显着较高（10％，p<0.001)。巩膜扣带术和平坦部玻璃体切除术在治疗无玻璃体脱离的视网膜脱离方面显示出相似的成功率。然而,由于较少的白内障进展和更好的视力结果，这些病例建议使用巩膜扣带。手术前确定玻璃体状态对于最佳结果至关重要。
