Etiology of retinal detachment and comparison of visual outcome after pars plana vitrectomy and scleral buckling surgical procedures
摘要
The study is based on finding better treatment options and diagnostic methods for the particular type of retinal detachment (RD).
MethodsA cross-sectional comparative study was conducted at the Ophthalmology department of Holy Family Hospital, Rawalpindi from July 2023 to March 2024. Visual prognosis after surgery was calculated on the basis of a comparison of pre-operative and post-operative visual acuity. A total of 88 patients of both genders irrespective of age were included through consecutive non-random sampling techniques. Different diagnostic procedures were performed to evaluate the cause of Retinal Detachment. Pre-operative and Post-operative visual acuity was noted in comparison of two different surgical procedures.
ResultsAmong 88 patients 60% were males and 40% were females. According to the different causes of RD, RD with PDR (40%), RD with pseudophakia (20%), RD with Proliferative vitreoretinopathy (17%), RD with trauma (13%), RD with myopic degenerations (10%) were included. Visual acuity after surgery improved in 61 subjects, 35 patients with pars plana vitrectomy with silicon (PPV + SO) procedure and 26 patients with scleral buckling + cryotherapy (SB + Cryo) procedure and remained unchanged in 27 subjects, 9 with PPV + SO procedure and 18 with SB + Cryo procedure. There was a significant difference between the visual acuity of patients with PPV + SO and SB + Cryo surgical procedures, p < 0.05.
ConclusionsThe main cause or risk factor of retinal detachment or tear/hole and the type of RD were found. There is a significant difference in the Visual acuity of the patients following PPV + SO and SB + Cryo surgery.