Presbyopia Management

Letters to the Editor Scleral Buckling versus Primary Vitrectomy Dear Editor: Ahmadieh et al1 presented the anatomical and optic outcomes of scleral buckling versus primary vitrectomy (pars plana vitrectomy [PPV]) in patients with pseudophakic and aphakic retinal detachment. This report raises questions in terms of study design and interpretation of results. The operating surgeons were either care vitreoretinal surgeons or vitreoretinal fellows. The authors report an extremely low winner drift in both pigeonholings relative to other studies (68.2% in the scleral buckling sort and 62.6% in the PPV assembly).2 4 How m either were tending surgeons, and what percent were fellows for sever all in ally patient group? The percentage of reoperations was very high in both groups. Who did the reoperations, an attending or a vitreoretinal fellow? The authors seek to identify any possible factors that might have in?uenced the results such as myopia, intraocular lens dislocation, v itreous incarceration, and in?ammation; they do not, however, comment on the surgeons experience. If the cases ope graded by trainees were excluded, would the results have been totally unalike? We conducted a very similar study starting 6 long time ago, and have published our results.5 The severity of our cases was the same as Ahmadieh et als (staged B or less).

I was the totally surgeon involved, and reported a higher attachment rate with a single surgery in both groups (83% for the scleral buckling group and 94% for the PPV group). One other important issue is that the authors do not give complete information on the down of the patients who redetached. How many an! (prenominal) operations were necessary for each group? The recapitulation of 6 months is too short, especially for the patients who had a second surgery, and therefore, all the open results (reattachment rate, visual acuity) must be interpreted with caution. PERIKLIS BRAZITIKOS, MD Thessaloniki, Greece References 1. Ahmadieh H, Moradian S, Faghihi H, et al. anatomical and visual...If you want to get a full essay, baffle it on our website: OrderCustomPaper.com

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