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Evolving trends in primary retinal detachment: repair microincisional vitrectomy and the role of OCT

Despite extensive advances in the management of retinal detachment (RD) over the past 40 years, RD repair continues to further evolve and improve.

As Dr. Patrick Williams notes in this column, the ASRS PAT Survey shows a decline over the past decade in the use of scleral buckles and an increase in vitrectomy to repair primary RDs. U.S. retina specialists have spoken, and the trend is clear: scleral buckle use is on the decline. Reasons include the invasive nature of scleral buckle placement, greater anesthesia requirements compared to vitrectomy, and induced postoperative myopia. Dr. Williams describes the advances in microincisional vitrectomy and compares this to broader trends toward minimally invasive surgery.

Seenu Hariprasad

Seenu M. Hariprasad

This column provides an up-to-date summary of evolving trends in RD repair. Dr. Williams focuses on microincisional vitrectomy, scleral buckles, pneumatic retinopexy, and the role of emerging OCT technologies. His insights will be educational and thought-provoking for the entire retina community.

Click here to read the column by Patrick D. Williams, MD.

Despite extensive advances in the management of retinal detachment (RD) over the past 40 years, RD repair continues to further evolve and improve.

As Dr. Patrick Williams notes in this column, the ASRS PAT Survey shows a decline over the past decade in the use of scleral buckles and an increase in vitrectomy to repair primary RDs. U.S. retina specialists have spoken, and the trend is clear: scleral buckle use is on the decline. Reasons include the invasive nature of scleral buckle placement, greater anesthesia requirements compared to vitrectomy, and induced postoperative myopia. Dr. Williams describes the advances in microincisional vitrectomy and compares this to broader trends toward minimally invasive surgery.

Seenu Hariprasad

Seenu M. Hariprasad

This column provides an up-to-date summary of evolving trends in RD repair. Dr. Williams focuses on microincisional vitrectomy, scleral buckles, pneumatic retinopexy, and the role of emerging OCT technologies. His insights will be educational and thought-provoking for the entire retina community.

Click here to read the column by Patrick D. Williams, MD.