%0 Journal Article
%T Surgical Approaches in Primary Rhegmatogenous Retinal Detachment:  A Systematic Review and Meta-Analysis Comparing Vitrectomy vs. Vitrectomy  Combined with Scleral Buckling,  Lens-Sparing vs. Phako Procedures
%A Miguel A. Quiroz-Reyes
%A Erick A. Quiroz-Gonzalez
%A Miguel A. Quiroz-Gonzalez
%A Virgilio Lima-Gomez
%J Open Journal of Ophthalmology
%P 371-397
%@ 2165-7416
%D 2023
%I Scientific Research Publishing
%R 10.4236/ojoph.2023.134036
%X <p>
	<span><b><span style=\"font-family:;\" \"=\"\">Aim:</span></b></span><span><span><span style=\"font-family:;\" \"=\"\"> This study aimed to assess and compare the functional and anatomical
results of pars plana vitrectomy (PPV) alone versus PPV combined with scleral
buckling (SB), and lens-sparing versus phaco-procedures for treating
rhegmatogenous retinal detachment. <b>Methods:</b> A comprehensive literature
search was performed using the Web of Science, MEDLINE, EMBASE, and Cochrane
Library databases to retrieve comparative studies. The main objective was to
assess the BCVA, while reattachment rates and ocular adverse event<span>s were considered secondary measures. Rev Manager
software was used for statistical analysis. <b>Results:</b> The literature
search identified 10 articles comprising 1518 eyes, with 682 eyes in the PPV
group, 193 eyes in the lens-sparing ve</span>rsus phaco-procedure group, and
643 eyes in the combined PPV and SB surgery group. Quality assessment revealed
a low risk of bias in most domains. The meta-analysis results revealed a
significant difference in postoperative BCVA between the PPV and PPV combined
with SB groups (WMD = <span style=\"white-space:nowrap;\">&amp;#8722;</span></span></span></span><span><span><span style=\"font-family:;\" \"=\"\">0.17,
95% CI [0.27,</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">0.07], p = 0.001). The primary reattachment rates were 82.80% for PPV
alone and 87.52% for PPV combined with SB (p = 0.34). The final reattachment
rates did not differ significantly between PPV and PPV combined with SB (99%
vs. 99.8%; RR</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">=</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> </span></span></span><span><span><span style=\"font-family:;\" \"=\"\">1.00, 95% CI [1.01, 0.99], p = 0.96). PPV alone demonstrated a
significantly reduced risk of macular edema compared to PPV combined with
scleral buckling (9.9% vs. 23%; p = 0.006). The incidence</span></span></span><span><span><span style=\"font-family:;\" \"=\"\">s</span></span></span><span><span><span style=\"font-family:;\" \"=\"\"> of
macular hole development (p = 0.46), recurrent retinal detachment (p = 0.27),
proliferative vitreoretinopathy development (p = 0.48), epiretinal membrane
proliferation (p = 0.77), and limited choroidal hemorrhage (p = 0.69) were not
significantly different between the
%K Lens-Sparing
%K Phaco-Procedure
%K Pars Plana Vitrectomy
%K Rhegmatogenous Retinal Detachment
%K Scleral Buckle
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=129231