Beyoglu Eye Journal (Dec 2017)

Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment

  • Ahmet Alperen Koc,
  • Gokhan Demir,
  • Okkes Baz,
  • Ali Demircan,
  • Dilek Yasa,
  • Sibel Ahmet,
  • Zeynep Alkin,
  • Muhittin Taskapili

DOI
https://doi.org/10.14744/bej.2017.09719
Journal volume & issue
Vol. 2, no. 3
pp. 77 – 80

Abstract

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INTRODUCTION[|]The aim of this study was to present the anatomical and functional results of scleral buckling (SB) surgery performed in cases of rhegmatogenous retinal detachment (RRD).[¤]METHODS[|]Retrospectively, 101 eyes of 101 patients who underwent SB surgery were included in the study. Anatomical success or failure was assessed by slit-lamp microscopy fundus examination. Best corrected visual acuity (BCVA) measurements were performed on all patients at baseline and at control visits. Preliminary and posterior segment examinations were performed with slit-lamp biomicroscopy, and intraocular pressure measurements were performed with Goldman applanation tonometry. The general characteristics of the patients and etiological factors were also examined.[¤]RESULTS[|]The mean age of the patients was 33+-16 years. The most common risk factors were idiopathic causes and myopia, each found in 34.7% of eyes, and trauma in 18.8%. The mean length of disease history was 20.2+-20 days. There was no correlation between length of disease history and anatomical and functional success. In all, 94% of the eyes were phakic, 5% were pseudophakic and 1% was aphakic. Macular involvement was present in 37 (36.6%) of eyes. While there was a positive correlation between macular involvement and functional success, there was no significant difference in terms of anatomical success. At the final control, anatomical success was achieved in 67 eyes (66.7%) and functional success in 66 eyes (65%). Pars plana vitrectomy surgery was performed as a second operation in 33.3% of the patients. Before the SB operation, the mean BCVA was 1.2+-0.9 logMAR (logarithm of the minimum angle of resolution); afterwards, it increased to 0.6+-0.5 logMAR (p<0.001).[¤]DISCUSSION AND CONCLUSION[|]When SB surgery is performed with the appropriate indications in the treatment of RRD, it is an easy method to apply, has a high success rate, a low complication rate, and provides the option for a secondary surgery if it fails.[¤]

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