Pars plana vitrectomy, scleral buckle, and pneumatic retinopexy for the management of rhegmatogenous retinal detachment: a meta-analysis

We reviewed the literature on the efficacy and safety of pars plana vitrectomy (PPV), scleral buckle (SB), and pneumatic retinopexy (PR) for the management of rhegmatogenous retinal detachments (RRDs). A systematic search was performed on three databases from inception to September 2020. Randomized...

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Bibliographic Details
Published in:Survey of ophthalmology 2022-01, Vol.67 (1), p.184-196
Main Authors: Popovic, Marko M., Muni, Rajeev H., Nichani, Prem, Kertes, Peter J.
Format: Article
Language:English
Subjects:
Humans
Laser therapy
Meta-analysis
Pneumatic retinopexy
Retina
Retinal detachment
Retinal Detachment - etiology
Retinal Detachment - surgery
Retrospective Studies
Scleral buckling
Scleral Buckling - adverse effects
Scleral Buckling - methods
Treatment Outcome
Visual Acuity
Vitrectomy
Vitrectomy - methods
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Summary:We reviewed the literature on the efficacy and safety of pars plana vitrectomy (PPV), scleral buckle (SB), and pneumatic retinopexy (PR) for the management of rhegmatogenous retinal detachments (RRDs). A systematic search was performed on three databases from inception to September 2020. Randomized controlled trials (RCTs) comparing RRD management options were included. Meta-analysis was performed using a random effects model. Eighteen RCTs and 2,751 eyes were included. For PPV versus SB, early postoperative corrected distance visual acuity (CDVA) favored SB (weighted mean
ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2021.05.008