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POST VITRECTOMY RETINAL REDETACHMENT AND VISUAL ACUITY DIFFERENCE WITH AND WITHOUT SCLERAL BUCKLING IN RHEGMATOGENOUS RETINAL DETACHMENT Prakriti, Daivi; Andayani, Ari; Utari, Ni Made Laksmi; Widiana, I Gde Raka
International Journal of Retina Vol 9 No 1 (2026): International Journal of Retina (IJRetina) - INAVRS
Publisher : Indonesian Vitreoretinal Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35479/ijretina.2026.vol009.iss001.290

Abstract

Introduction: Vitrectomy pars plana (VPP) either with or without scleral buckling (SB) is the definitive treatment for rhegmatogenous retinal detachment (RRD). Installation of SB with VPP is still a controversy. There has not been any conclusive evidence regarding whether VPP with SB can give a better outcome compared to VPP alone for RRD patients. This research aimed to assess the difference of retinal redetachment and visual acuity post VPP with and without SB in RRD. Methods: This observational analytic research used secondary data in the form of medical records from January 2019 – June 2021. Research samples are all RRD cases who has undergone VPP with or without SB in Central Surgical Installation of Sanglah General Hospital Denpasar who fulfill inclusion and exclusion criteria, taken consecutively. A total of 60 samples were obtained. Data collected including age, gender, preoperative visual acuity, onset, RD extension, retinal break location, presence of PVR, macular status, type of tamponade as well as visual acuity and retinal redetachment post-surgery on the first week, first month and second month. Analysis was done using SPSS version 21. Result: The results showed no significant difference in redetachment risk on multivariate analysis of the two groups. Age, PVR, and macular status contributed to redetachment risk. Multivariate analysis found significant difference in visual acuity of both groups on the second month post-surgery. Onset, macular status, and extent of RD also influences visual acuity prognosis. Conclusion: This research cannot provide adequate evidence that VPP with SB can give better outcome compared to VPP alone. Although multivariate analysis found better visual outcome in patients treated with VPP with SB, this result was related to onset, macular status and the extent of RD. The disadvantages of VPP with SB involved longer surgery time, post surgical edema and pain. Further research with longer follow up duration, blinding and randomization or RCT can be done for better evidence to determine which is more superior.
Co-Authors Agrasidi, Putu Anindya Agus Kurniawan Agus Kurniawan Agus Kurniawan Agustiawan, Referano Agustinus Bimo Gumelar Amicipta Sanjaya Anak Agung Mas Putrawati Triningrat ANASARY, A. A. AYU PUTRI PREMATURA SRI Anasary, Anak Agung Ayu Putri Prematura Sri Andayani, Gitalisa andriyani, fajar Angelina S Tallo Anggrawati, Anggrawati Ari Suryathi, Ni Made Arief S. Kartasasmita Ariesanti Tri Handayani, Ariesanti Tri Arismaya, Anggun Mita Baiq Hilda Astriana, Baiq Hilda Bella Safitri Bobby Kristianto Bora, Elaria Dharma, Andhika Guna Djatikusumo, Ari Elvioza Elvioza, Elvioza Firmansyah, M fitriani, indra Harley, Ohisa Hendrawan, Kevin Hendrawan, Kevin Anggakusuma Heni Setyowati I Gde Raka Widiana I Gusti Ayu Ratna Suryaningrum I Made Gede Widnyana I Putu Budhiastra, I Putu I Wayan Gede Jayanegara I Wayan Losen Adnyana Ichsan, Andi M Ida Bagus Putra Manuaba Iskandar, Erwin Jayawarsa, A.A. Ketut Juliari, I Gusti Ayu Made Juliari, IGAM Komang Putra Tridiyoga Kristianto, Bobby Lallo, Poulina Liviyanti, Liviyanti Lulyana, Lulyana Made Agus Kusumadjaja Made Ayu Hapsari Dwi Ambarini Maria Rumperiai, Juliana Martin Hertanto Minarni, May Moneca Diah Listiyaningsih N. M. Lienderi-Wati Nadia Artha Dewi Nadiah Nadiah Ni Made Ari Suryathi Ni Made Ayu Surasmiati Ni Made Laksmi Utari Ninik Christiani Noviantari, I Gusti Agung Ratna Nurlaili, Ilfi nurliah, nurliah nurlistiani, umi Nyoman Novita Rismawati, Nyoman Novita P. Budhiastra Pande Putu Adityo Ananta Ardika Pantjawati, Ni Luh Diah Pemayun, Cok Istri Dewiyani Pitanatri, Nyoman Brahmani Prakriti, Daivi Priscilla Christina Natan Putrawati Triningrat, Anak Agung Mas Putu Budhiastra Putu Budhiastra Retnaningtyas, Erma Retno Palupi Ririn Sulistyowati rizmi sliviana, zelda Rohana Satya Nugraha Sembiring, Sindy Boru Septabela Mahardika Siska Siska Siti Haryani Sjahreza, Emil Sucilasmi Sukartini Djelantik, Anak Agung Ayu Sukidja, Sukidja Sukmawati, Nurindah supraptini, hemi Suryanadi, Ni Made Suryawijaya, Ernes Erlyana Susilo, Teguh Sutyawan, I Wayan Eka Titiek, Ernawati Tridiyoga, Komang Putra Triningrat, A.A. Mas Putrawati Triningrat, Anak Agung Mas Putrawati Tya Lestari Umbu Lapu, Ervan Suryanti Utari, Ni Made Laksmi Wahyu Setya Ningsih Wibawa, I Made Dwi Surya Widayati, Wijayati, Made Paramita Winly, Winly Yamba kodi, Elvira Yudistira Yudistira Yuliarta, Marliana Yuliawati, Putu Yustiarini, Ima