Regeneration of Photoreceptor Outer Segments After Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment

Purpose To introduce a modified scleral buckling surgery using noncontact wide-angle viewing system and intraocular illumination in the treatment of rhegmatogenous retinal detachment (RRD) without proliferative retinopathy. Methods A modified scleral buckling surgery using noncontact wide-angle viewing system with a 25-G optic fiber through sclerotomy site was performed in 22 eyes of 22 patients with RRD. Twelve women and 10 men were included. The mean age was 49.23 ± 15.19 years. The mean refraction of myopia was -4 D (range -3 to -7 D). The mean duration of RRD was 6.64 ± 3.14 days. The preoperative best-corrected visual acuity (BCVA) ranged from 0.02 to 0.8. Mean follow-up was 9.59 ± 2.24 months. Proliferative retinopathy was grade A in 8 eyes and grade B in 14 eyes. Results This surgery was performed successfully and retinal attachment was achieved in all eyes at the final follow-up. The postoperative BCVA increased in all eyes. No complication was encountered related to this technique. Conclusions This modified scleral buckling surgery brings a panoramic and upright view and easy surgical maneuvers. It may be an additional approach for the management of RRD.

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Combined Surgery in Rhegmatogenous Retinal Detachment (Scleral Buckle Vitrectomy): Indications and Applications

Güncel Retina Dergisi (Current Retina Journal) ◽

10.37783/crj-0165 ◽

2019 ◽

pp. 201-204

Keyword(s):

Retinal Detachment ◽

Rhegmatogenous Retinal Detachment ◽

Scleral Buckling ◽

Scleral Buckle ◽

Combined Surgery ◽

Primary Vitrectomy

Supplemental scleral buckling techniques in vitrectomy for the repair of rhegmatogenous retinal detachment to achieve higher reattachment rates are not widely used but may be useful especially in complicated cases. In this article, the positive and negative aspects of adding scleral buckle to primary vitrectomy will be examined by looking at relevant studies.

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Primary Vitrectomy Surgery in Rhegmatogenous Retinal Detachment; Indications and Techniques

Güncel Retina Dergisi (Current Retina Journal) ◽

10.37783/crj-0164 ◽

2019 ◽

pp. 197-200

Keyword(s):

Retinal Detachment ◽

Visual Loss ◽

Rhegmatogenous Retinal Detachment ◽

Vitreoretinal Surgery ◽

Scleral Buckling ◽

Primary Vitrectomy ◽

Advantages And Disadvantages ◽

Instruments And Techniques ◽

Vitrectomy Surgery ◽

State Of Art

Retinal detachment is one of the most important causes of visual loss. Scleral buckling, pneumatic retinopexy, or primary vitrectomy techniques are the state of art treatment approaches for retinal detachment. Novel improvements in instruments and techniques of vitreoretinal surgery have led primary vitrectomy to be more preferable for retinal detachment surgery. Performing primary vitrectomy in selected patients, considering the advantages and disadvantages has a significant impact in terms of prognosis.

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