Scleral buckling vs vitrectomy: the continued role for scleral buckling in the vitrectomy era.

RD. Soon after its introduction, PPV enhancedtheabilitytorepairRDs,particularlyinsettingsofcomplexcases, trauma, andproliferativevitreoretinopathy(PVR). TheuseofPPVhas expandedintherepairofRDs,particularly in patients with pseudophakic eyes.Asinstrumentationandsafety ofPPVcontinuetoimprovealongwith modernmicroscopesandwide-angle viewingsystems,somehavesuggested that PPV should be used alone for nearly all rhegmatogenous RDs. We assert that surgeons should offer the proceduremost likelytorepair theRD inasinglesessionwith the lowest risk of severe complications and with the best chance that a second operation will be successful should the first fail. In this light, we would argue that, although PPV alone has a role in the treatmentofselectedrhegmatogenous RDs,mostwouldbebestrepairedwith SB alone or SB plus PPV.