1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 The reasons behind these results may be diverging complex criteria for selection of patient material as well as the use of several surgical methods within each study. This is shown by the fact that studies on scleral buckling as well as those on vitrectomy alone show a wide range of reattachment rates after one operation. However, despite substantial technical development in the field, progress in RRD management in terms of both anatomical and functional results remains uncertain. This so‐called internal approach has been found to be especially useful in eyes in which retinal breaks are large, posteriorly located or difficult to identify, and also in cases of media opacities. 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 Vitrectomy offers the possibility of removing vitreoretinal traction, controlled drainage of subretinal fluid, and precise laser treatment. 1, 2, 3, 4 In recent years, however, reports on vitrectomy without scleral buckling for RRD have become more frequent. In most vitreoretinal surgical centres, the use of scleral buckling constitutes the mainstay of treatment for rhegmatogenous retinal detachment (RRD), either alone for routine cases or combined with vitrectomy for patients with more advanced forms of the disease.
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