SCIENTIFIC POSTER

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


ABSTRACT

Purpose:

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

Methods:

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.

Results:

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.

Conclusion:

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.


CONTACT DETAILS

Abdulelah A. Al-Abdullah, Omar Al Abdulsalam, Hussain Al Habboubi, Marco Mura
King Khaled Eye Specialist Hospital
Riyadh
Saudi Arabia
Email : hasadoc@gmail.com
Cell Phone: +966501906857
Work Phone: +9664821234