Al Taisan AA, Alshamrani AA, AlZahrani AT, et al. - Researchers performed this retrospective cohort study to assess the outcome of pars plana vitrectomy (PPV) and combined pars plana vitrectomy with scleral buckle (PPV-SB) in the primary pediatrics rhegmatogenous retinal detachment repair. Between January 2014 and October 2018, patients under 18 years of age, who presented with rhegmatogenous retinal detachment at King Khaled Eye Specialist Hospital, were analyzed. In total, 117 patients (122 eyes) were involved in the study; 80 eyes in the PPV group and 42 eyes in the PPV-SB group. In this series, PPV and PPV-SB achieve comparable anatomical success and postoperative complication rates. On the recommendation of the surgeons, more complex cases were chosen for PPV-SB.