Scleral Buckling versus Vitrectomy for XXXX Repair: Comparison of Visual Fields and Nerve Fiber Layer Thickness.

@entity1 @entity227 @entity1713 @entity16 @entity2286 @entity989 @entity11471
PURPOSE: To compare visual field @entity989 in cases of @entity1713 ( @entity1713 ) treated with scleral buckle (SB) versus pars plana vitrectomy ( @entity2286 ) and C3F8 injection. METHODS: This was a prospective, comparative interventional study of 50 eyes with primary @entity1713 , treated with @entity2286 (25 eyes) or SB (25 eyes). All measurements took place at least 9 months following successful and uncomplicated surgical treatment. The @entity227 (TD) values for preoperative attached and detached areas were calculated and compared separately. The optic nerve head morphology was studied with Heidelberg retinal tomography (HRT), and the RNFL using spectral-domain optical coherence tomography. RESULTS: The preoperative detached areas demonstrated more affected TD values (in dB) compared to the preoperative attached areas (-6.9    5.2 vs. -4.3    3.3 for the SB group and -9.6    5.2 vs. -7.8    5.1 for the @entity2286 group; p = 0.001) in both groups. The preoperative attached areas of the SB group showed better TD values (calculated mean values) compared to the preoperative attached areas of the @entity2286 group (-4.3    3.3 vs. -7.8    5.1, p = 0.007). The RNFL and HRT values showed no statistically significant difference between the two groups. CONCLUSIONS: It seems that the preoperative @entity11471 , despite successful reattachment, suffers permanent @entity16 as a result of the detachment, irrespective of the method of treatment. In the @entity2286 group, the postoperative functionality of the preoperative attached areas was detected to be worse compared to the postoperative functionality of the preoperative attached areas of the SB group. We postulate that this fact could be attributed to an additional traumatizing factor (possibly fluid-air exchange or gas injection) in @entity1 with @entity1713 treated with @entity2286 .
