PPV Versus Combined PPV Scleral Buckle for Secondary Repair of Pediatric RRD by Abdulelah A. Al-Abdullah, Omar Al Abdulsalam, Hussain Al Habboubi, Marco Mura, Saudi Arabia



To evaluate the optimal surgical option for secondary repair of pediatric rhegmatogenous retinal detachment (RRD) following failed pars plana vitrectomy (PPV).


We conducted a retrospective, comparative chart review of pediatric patients (under 18-years) who underwent secondary RRD procedures after failed primary PPV. The primary outcome was the anatomical success rate for each procedure. The secondary outcomes were change in best-corrected visual acuity (BCVA) and postoperative complications.


The PPV group included 30 eyes of 29 patients (mean age: 10.9 years). The combined PPV-scleral buckle (PPV/SB) group included 23 eyes of 22 patients (mean age: 10.3 years). After a mean follow-up of 21.7 months in the PPV group, the final anatomical success rate was 83.3%. The final anatomical success rate in the combined PPV/SB group was 73.9% after a mean follow-up of 26.5 months. There was no statistically significant difference in the anatomical success rate (P=0.41), as well as the mean postoperative BCVA (P=0.81) between the two groups. The combined PPV/SB group had a smaller incidence of postoperative complications.


PPV alone seems not to have inferior anatomical and functional outcomes when compared with combined PPV/SB for secondary repair of pediatric RRD after failed PPV.


Abdulelah A. Al-Abdullah, Omar Al Abdulsalam, Hussain Al Habboubi, Marco Mura
King Khaled Eye Specialist Hospital
Saudi Arabia
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