Cochrane · systematic review · CD009562
Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments
Znaor, L, Medic, A, Binder, S, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Eyes and VisionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 5 · 71.4%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Pars plana vitrectomy (PPV) compared to scleral buckling for repairing simple rhegmatogenous retinal detachments
Population: people with simple rhegmatogenous retinal detachments
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Primary retinal reattachment at least 3 months after operation Pars plana vitrectomy (PPV) vs scleral buckling | RR 1.07 [0.98, 1.16] | 9 studies · 1261 participants | Low Downgraded: risk of bias, imprecision |
Postoperative visual acuity (logMAR) range 0 to 2; higher values of logMAR indicate worse visual acuity at least 3 months after operation Pars plana vitrectomy (PPV) vs scleral buckling | no estimate extracted | 6 studies · 1138 participants | Low Downgraded: risk of bias, inconsistency |
Final anatomical success at least 3 months after operation Pars plana vitrectomy (PPV) vs scleral buckling | RR 1.01 [0.99, 1.04] | 9 studies · 1235 participants | Low Downgraded: risk of bias, imprecision |
Recurrence of retinal detachment at least 3 months after operation Pars plana vitrectomy (PPV) vs scleral buckling | RR 0.75 [0.59, 0.96] | 9 studies · 1320 participants | Low Downgraded: risk of bias, imprecision |
Number of interventions needed to achieve final anatomical success at final Pars plana vitrectomy (PPV) vs scleral buckling | no estimate extracted | 2 studies · 682 participants | Very low Downgraded: risk of bias, inconsistency, indirectness |
Quality of life (satisfaction with vision) at least 3 months after operation Pars plana vitrectomy (PPV) vs scleral buckling | RR 6.22 [0.88, 44.09] | 1 study · 32 participants | Very low Downgraded: risk of bias, imprecision |
Adverse effects (cataract development, choroidal detachment, new/iatrogenic breaks, postoperative proliferative vitreoretinopathy, postoperative increase in intraocular pressure, development of cystoid macular oedema, macular pucker, strabismus) a... Pars plana vitrectomy (PPV) vs scleral buckling | OR 1.71 | 1 participants | Low Downgraded: risk of bias, imprecision |