Purpose <p>The study is based on finding better treatment options and diagnostic methods for the particular type of retinal detachment (RD).</p> Methods <p>A 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.</p> Results <p>Among 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, <i>p</i> &lt; 0.05.</p> Conclusions <p>The 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.</p>

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Etiology of retinal detachment and comparison of visual outcome after pars plana vitrectomy and scleral buckling surgical procedures

  • Nimra Ameen,
  • Tanzila Rehman,
  • Maryam Riaz,
  • Sahibzadi Saira Saleem,
  • Ali Ahmed Al-Halani,
  • Anam Mehmood,
  • Asma Saleem

摘要

Purpose

The study is based on finding better treatment options and diagnostic methods for the particular type of retinal detachment (RD).

Methods

A 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.

Results

Among 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.

Conclusions

The 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.