Shamsullah Bazai, Saifullah Tareen, Muhammad Afzal Mandokhel, Shaban Khan Kakar.
Frequency of Retinal Reattachment and Improvement in Visual Acuity in Case of Rhegmatogenous Retinal Detachment with Inferior Breaks Undergoing Pars Plana Vitrectomy Combined with Scleral Buckling and Silicon Oil Injection.
Pak J Med Health Sci Jan ;7(1):100-3.

Objective: To determine the frequency of retinal reattachment and improvement in visual acuity in cases of rhegmatogenous retinal detachment with inferior breaks undergoing pars plana vitrectomy combined with sclerral buckling and silicone oil injection. Patients and methods: This descriptive case series study conducted at Department of Ophthalmology, Jinnah Postgraduate Medical Center Karachi. The duration of study was one year and six months for collection of subjects and six month for follow-up(2 years). The study group comprised of 52 patients with retinal detachment having inferior break. These patients underwent combined pars plana vitrectomy with sclera buckling and silicone oil tapenade. Post procedure follow up was scheduled on 1stpost operative day, one week, third month, 6th month. The results were analyzed through computer software SPSS 10. Results: Total 52 eyes of 52 patients with retinal detachment due to inferior retinal break underwent procedure. Retinal reattachment after first surgery was achieved improvement was achieved in 48 patients (92.3%) and the second surgery in 52 patients (100%). Visual improvement was noticed in 46 patinas (88.5%), while no improvement was noted in 6 patient (11.5%). Conclusion: Pars plana vitrectomy combined with scleral buckling is a safe procedure that improves and enhances primary success rates in inferior break detachment.

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