Effect Comparison of Releasable Scleral Buckling Surgery and Pars Plana Vitrectomy in the Treatment of Rhegmatogenous Retinal Detachment
Objective To compare the effectiveness of releasable scleral buckling surgery(RSB)and pars plana vitrectomy(PPV)in the treatment of rhegmatogenous retinal detachment.Methods Retrospective analysis was conducted to collect clinical data of 93 patients with rhegmatogenous retinal detachment admitted to the Affiliated Hospital of Xinyang Vocational and Technical College from June 2020 to June 2022.According to surgical methods,the selected patients were divided into an observation group(RSB treatment,47 cases)and a control group(PPV treatment,46 cases).Both groups of patients completed a 6-month follow-up to compare their postoperative retinal reattachment,best corrected visual acuity(BCVA)before surgery,1 week after surgery,3 months after surgery,and 6 months after surgery,as well as the incidence of postoperative complications.Results The success rate of initial retinal reattachment in the observation group was lower than in the control group,but the difference was not statistically significant(X2=0.156,P=0.693).There was no statistical significant difference in BCVA between the two groups before and 6 months after surgery(P＞0.05).The BCVA of the two groups gradually decreased compared to before surgery at 1 week,3 months,and 6 months after surgery,and the BCVA of the observation group was lower than that of the control group at 1 week and 3 months after surgery.There was a statistical significant difference in the interaction between groups,time points,and time points(P＜0.05).The total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Both RSB and PPV can effectively reposition the retina of patients with rhegmatogenous retinal detachment and promote visual improvement.However,compared with PPV,patients with rhegmatogenous retinal detachment have faster early visual recovery after RSB surgery and a lower incidence of postoperative complications.
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