Siamak Moradian, Hamid Ahmadieh, Hooshang Faghihi, Alireza Ramezani, Morteza Entezari, Tooka Banaei, Ebadollah Heidari, Hasan Behboodi, Amir Hossein Mahmoodi, Mehdi Yasseri (Tehran, Iran)


To compare the visual and anatomical outcomes and complications of 4 surgical techniques in the management of pseudopkakic and aphakic retinal detachment (PARD).


In a multicenter clinical trial, 204 eyes with PARD and PVR grade B or less were randomly assigned to one of the 4 treatment groups: 1) scleral buckling (SB) ,2)vitrectomy without band, 3) vitrectomy with encircling band and 4)TA assisted vitrectomy. Patients were followed for one year.

Effectiveness / Safety:

There were no statistically significant differences among the 4 treatment groups in terms of outcomes and complications.

Take home message:

SB, TA assisted vitrectomy, vitrectomy alone and vitrectomy with band have comparable results in pseudophakic and aphakic retinal detachment.