The Outcome Combined Pars Plana Vitrectomy and Scleral Buckling (Vit-Buck) in Pediatric Retinal Detachment

Abstract

Objective: To assess the visual and anatomical outcome of combined parsplana vitrectomy and Scleral Buckling procedure in pediatric retinal detachment patients.

Study Design: A retrospective study

Place and Duration of Study: This study was conducted at the Department of Ophthalmology, Al-Ibrahim Eye hospital, Karachi for six months from April 2019 to March 2020.

Materials and Methods: A retrospective study was carried out on 57 patients with pediatric retinal detachment aged 3-14.  Patients who underwent a combined surgical procedure of SB and PPV were included and had a follow-up for six months minimum. Medical records were studied thoroughly. Pre and post-operative visual acuity were assessed on follow-up, along with complications. Data were analyzed using SPSS Version 21.0 with P-value set
at ≤0.05.

Results: Significant difference (P-value ≤0.05) in Pre and Post-Operative visual acuity upon follow-up and a reduction in complications upon follow-ups.

Conclusion: SB is a strong surgical procedure in paediatric retinal detachments and combined with parsplana vitrectomy improves visual acuity and shows a strong anatomic success outcome.