Scleral Buckling Surgery after Macula-Off Retinal Detachment (original) (raw)
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Anatomical and functional outcome of scleral buckling in primary rhegmatogenous retinal detachment
IP innovative publication pvt. ltd, 2019
Purpose: To study the anatomical and functional outcomes, complications and reasons for failure of scleral buckling in primary rhegmatogenous retinal detachment Design: Prospective Observational Study Materials and Methods: 17 eyes of 16 consecutive patients who had undergone scleral buckling for rhegmatogenous retinal detachment at a tertiary care teaching Ophthalmic Institute in South India from January 2015 were taken up for the study. Important points like history of trauma, spectacle use and cataract surgery were noted from the history. Detailed evaluation including snellen visual acuity converted to Logmar vision, Slit Lamp Evaluation, Fundus examination, Applanation tonometry etc were done and documented before surgery and the same parameters were again noted during the follow up examinations on the first post operative day and then at 2 weeks, 4 weeks, 3months and 6 months. Surgical parameters like number and location of breaks, macular status, type of buckling etc were also recorded diligently. Results: 15 Out of the 17 eyes (88%) achieved anatomical success with the retina attached at 4 weeks of post operative follow up. The cause of failure in the remaining 2 cases was missed retinal breaks and were rescued by vitrectomy. The mean average pre operative vision was 2.23 which improved to a mean average vision of 1.49, 1.30, 1.15, 1.04, 1.01 at 1st post operative day, 2weeks, 4 weeks, 3months and 6 months respectively. The change was found to be significant. The macula on RRDs (4 eyes) had better visual improvement with mean pre op Logmar vision improving from 0.842 to a post op Logmar vision of 0.37 and 0.15 at 4 weeks and 6 months respectively.
Vojnosanitetski pregled, 2014
Background/Aim. Among the proposed operative techniques for retinal detachment (RD) the most commonly applied are classical method with scleral buckling and pars plana vitrectomy (PPV). The aim of this paper was to determine which surgical intervention of these two leads to better morphological results in terms of the applied retina and better functional outcomes in terms of visual acuity (VA) of the operated eye in patients with RD. Methods. A retrospective study on the comparative section of the effects of scleral buckling surgery and PPV in uncomplicated rhegmatogenous RD was performed. In a 2-year period 97 patients, i.e. 98 eyes with RD were operated on (68 eyes with scleral buckling surgery vs 30 by PPV). Results. In the group with classically operated detachment, the retina was applied in 52 (76.5%) cases vs 30 (100%) patients in PPV group (p < 0.05). Postoperative VA in logMAR was significantly better in both groups compared to preoperative VA: in the classically operated...
Visual Recovery after Scleral Buckling Procedure for Retinal Detachment
Ophthalmology, 2006
To evaluate prognostic factors for visual and anatomic outcomes, including complications after scleral buckling procedure (SBP) for primary rhegmatogenous retinal detachments. Design: Retrospective, consecutive, nonrandomized, comparative interventional case series. Participants: Patients undergoing SBP for primary rhegmatogenous retinal detachment performed by a single surgeon. Methods: The patients' medical records were reviewed. Preoperative and intraoperative factors analyzed for their association with visual acuity and anatomic outcomes included macular detachment, duration of macular detachment, preoperative visual acuity, lens status, refractive error, extent of detachment, number of breaks, internal gas tamponade, and drainage of the subretinal fluid. Secondary outcomes included frequency of further surgery, complications, and fellow eye retinal detachment. The fellow eye of the patients was excluded from consideration of prognostic factors. Main Outcome Measures: Best-corrected visual acuity at 2 months and at final follow-up examination as well as anatomic factors including retinal reattachment at 1 day, 2 months, and last follow-up examination. Results: There were 672 patients studied, including 457 (68%) with macular detachment. The use of gas, drainage of subretinal fluid, and lens status did not influence final anatomic or visual results. Macular detachment was the most important prognostic factor for anatomic (P ϭ 0.031) and visual acuity success (PϽ0.001). Better preoperative visual acuity (PϽ0.001), fewer quadrants involved by the detachment (PϽ0.001), and lack of high myopia (P ϭ 0.001) were important positive prognostic factors for visual acuity. The duration of macular detachment was not of prognostic value up to 30 days' duration. Conclusions: Visual recovery after retinal reattachment was most dependent on macular involvement. Duration of macular detachment had surprisingly little influence on postoperative visual acuity. Ophthalmology 2006;
2020
BACKGROUNG: Myopic shift and biometric ocular changes have been previously observed after scleral buckling (SB) surgery in retinal detachment, but long term-term outcomes had not yet been explored. The purpose of present study is to evaluate long term ocular biometric changes in patients with primary macula-on rhegmatogenous retinal detachment (RRD) treated with scleral buckling.METHODS: in this retrospective, observational study, we reviewed the medical records of patients undergoing SB surgery for macula-on RRD. Ocular biometry was performed before and at the most recent visit after surgery. Axial length (AXL), anterior chamber depth (ACD), anterior corneal astigmatism and spherical equivalent in treated eyes were compared before and after surgery as well as with those of fellow eyes.RESULTS: 34 eyes of 17 patients with a mean age of 57.0 ± 8.9 years were included. The mean follow-up duration was 50.9 ± 21.9 months (median 53.0; range, 12 to 82 months). A significant postoperative...
Incidence of ocular motility problems following scleral buckling surgery
Eye, 1993
The incidence and severity of extraocular muscle imbal ance after conventional scleral buckling surgery was determined for 70 eyes of 68 patients with primary rheg matogenous retinal detachment. Fifty-eight eyes had cir cumferential silicone explants, 10 eyes had radial sponges and 2 had both. Sixty-five per cent of eyes showed some restriction of ocular motility and 72 % of patients had diplopia within their field of binocular single vision (BSV). The more extraocular muscles the explant was placed under, the more directions of gaze were likely to be restricted (p = 0.032). In 84% of eyes the restrictions could be related to the position of the explant. In 87% of patients their diplopia could also be related to the position of the explant. A second retinal detachment operation is more likely to cause restricted motility and more likely to cause diplopia within the expected field of BSV (p = 0.0297). Scleral buckling operations are known to cause post operative strabismus in some patients. Previous studies l-18 have quoted an incidence ranging from 3% to 57% of cases. Many authors have been unable to demonstrate a relationship to the type or position of the explant. One prospective study 19 demonstrates a higher incidence of muscle imbalance on detailed examination. Many of these studies include surgical techniques no longer in common use. This study evaluates the incidence and severity of extraocular muscle imbalance after retinal detachment surgery for primary rhegmatogenous detachment over a 2-year period. PATIENTS AND METHODS One hundred and thirteen patients were identified from theatre records who had had primary rhegmatogenous ret inal detachment surgery between 1 January 1990 and 31 December 1991. Of these, 5 patients had moved away from the area, 18 had been secondary referrals from out side the catchment area, 3 further patients had died and 2
Vojnosanitetski pregled, 2016
Background/Aim. Rhegmatogenous retinal detachment is a potentially blinding condition of the posterior segment of the eye. Currently, the only treatment modality is surgery and surgical options include scleral buckling, pars plana vitrectomy and pneumoretinopexy. Many factors may influence the outcome of the surgery. Well defined indications are essential for achieving the best postoperative results. The aim of this study was to assess anatomical and functional outcome of treatment with scleral buckling for macula-off rhegmatogenous retinal detachments. Methods. This prospective, nonrandomized, interventional study included consecutive patients underwent scleral buckling for macula-off retinal detachment in the tertiary centre for vitreoretinal surgery. Results. A total of 168 consecutive patients (mean age 58.2 ± 13.9 years) were included in the study. Postoperatively, anatomical success was achieved in 152 (90.5%) of the patients. Parameters that influenced the anatomical success included the number of retinal breaks
Taiwan Journal of Ophthalmology, 2017
PURPOSE: This study was aimed to evaluate the difference in the ocular parameter changes following scleral buckling (SB) for rhegmatogenous retinal detachment (RRD) in different age group patients. MATERIALS AND METHODS: This prospective study included 26 eyes of 26 patients who underwent SB for uncomplicated RRD. The patients were divided into three age groups: 16-30 years (Group I), 31-45 years (Group II), and 46-60 years (Group III). Axial length (AL), anterior chamber depth (ACD), and corneal curvatures were measured preoperatively and postoperatively at 1 week, 1 month, and 3-month. The postoperative change and progression of these parameters were evaluated and compared between three age groups using nonparametric Wilcoxon signed-rank test and Kruskal-Wallis test. RESULTS: At 3-month follow-up, a statistically significant postoperative AL increase, ACD decrease, and surgically induced astigmatism (SIA) were observed in all groups (Group I-0.75 ± 0.32 mm, 0.21 ± 0.21 mm, and 1.5 ± 0.48 D, respectively; Group II-0.79 ± 0.41 mm, 0.14 ± 0.04 mm, and 2.07 ± 1.18 D, respectively; Group III-0.86 ± 0.33 mm, 0.16 ± 0.05 mm, and 1.56 ± 1.19 D, respectively). However, surgery-induced change for any parameter was not significantly different between the groups (P for AL [0.7955]; ACD [0.8805]; and SIA [0.5485]). Progression in postoperative changes in AL and ACD was insignificant during three follow-up examinations in all the groups. However, SIA of Group I continued to change significantly up to 3 months but stopped to change at 1 month only in Group II and III. CONCLUSION: Age-related change in physical properties of ocular tissue does not have any major additional effect on the results of SB except that the postsurgical change in corneal curvature stops earlier in older patients compared to that in younger patients.
Scleral Buckling Procedure ; an Experience with Rhegmatogenous Retinal Detachment Patients
2011
Background: Rhegmatogenous Retinal Detachment (RDD) is the most common type of Retinal Detachment, secondary to break in neurosensory layer of retina. Objective: To determine anatomical and functional improvement and complications, in patients with RDD, treated by scleral buckling procedure. Patients and Methods: This descriptive study was conducted in Department of Ophthalmology, Jinnah Post Graduate Medical Centre, Karachi, during July 2004 to December 2005. A total of 40 patients of RRD with proliferative vitereoretinopathy (PVR) grade A and B, under went scleral buckling procedure (SBP). The patients from 5 to 55 years of age and of either sex were included in this study. In addition, patients with diabetes mellitus, coronary vascular disease and other known risk factors for surgery were excluded from the study. All of the patients had uncomplicated RRD with duration of less than three months. Patients were followed up for upto three years for anatomical and functional improveme...