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Vitrectomy with and without scleral buckle for inferior retinal detachment
  1. Y Y Y Kwong,
  2. C W Tsang,
  3. W W Lai,
  4. D S C Lam
  1. Hong Kong, People’s Republic of China
  1. Correspondence to: Professor Dennis Lam 3/F, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon, Hong Kong; dennislam_pubcuhk.edu.hk

https://doi.org/10.1136/bjo.2005.068528

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    In the article presented by Wickham and associates,1 the authors compared vitrectomy and gas for treating inferior break retinal detachments with vitrectomy, gas and scleral buckle. The study showed no significant difference in the final outcome between the two groups. While vitrectomy and gas for inferior break retinal detachments appears promising, there are several issues that we would like to raise.

    Firstly, the surgery was performed by a registrar, fellow, or consultant. These surgeons may have varying degrees of experience and the inconsistency may affect the rate of successful surgical outcome. Secondly, additional tears were treated with cryotherapy …

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