Abstract:
The aim of this study was to compare as to which treatment achieves better outcomes in the management of giant retinal tears (GRTs) pars plana vitrectomy (PPV) alone or combined with scleral buckle (SB) ? The Web of Science, PubMed, and Cochrane Library databases were searched from January 1, 1950 to October 1, 2020. Pooled odds ratios (ORs), 95% con dence intervals (CIs), heterogeneity, and publication bias were determined with Review Manager software. PPV combined with SB signi cantly decreased the risk of recurrent retinal detachment (RRD, OR = 0.39, 95% CI = 0.20-0.77, I2 = 35%, p = 0.006) in GRT management compared with PPV alone. However, the nal anatomical success (OR = 0.74, 95% CI = 0.23-2.39, I2 = 0%, p = 0.61), nal visual acuity (OR = 1.11, 95% CI = 0.48-2.58, I2=13%, p = 0.81), and risk factors of GRT e180° (OR = 0.43, 95% CI = 0.15-1.22, I2 = 0%, p = 0.11) were not signi cantly di erent between the two approaches. According to the nal anatomical success, nal visual acuity, and risk factors of GRT e180°, there were no signi cant di erences between PPV combined with SB and PPV alone for the management of GRT in the current study, except in decreasing the risk of RRD.
Keywords:
Pars plana vitrectomy
,
Scleral Buckling
,
Recurrent retinal detachment
,
Giant retinal tear