scholarly journals A COMPARATIVE ANALYSIS OF THE RESULTS OF SCLERAL BUCKLING WITH ALLOPLANT BIOMATERIAL VERSUS SILICONE SPONGE

2013 ◽  
Vol 6 (1) ◽  
pp. 16-21
Author(s):  
Larisa Konstantinovna Moshetova ◽  
Aysylu Bulatovna Galimova

A surgical method of rhegmatogenous retinal detachment repair with Alloplant biomaterial is effective and allows to provide a significant visual improvement. Technical simplicity, favorable course of early post-operative period, and lack of complications specific to the majority of episcleral procedures (implant contamination and/or extrusion, buckle displacement, dystrophic scleral changes in the buckling area) are the undoubted advantages of the proposed method, which make it preferable for using in rhegmatogenous retinal detachment.

Conventional surgery with a lower complication rate is recommended in cases of rhegmatogenous retinal detachment. Conventional retinal detachment surgery is still an appropriate technique for the treatment of most of the cases with rhegmatogenous retinal detachment even today. The main steps of the conventional retinal detachment surgeries are cryopexy, scleral buckling, encircling, and removal of subretinal fluid. Successful results have been reported in this surgical method in uncomplicated cases. This review mentions about the conventional detachment surgery in the main aspects.


2021 ◽  
Vol 13 (1) ◽  
pp. 65-72
Author(s):  
Lalit Agarwal ◽  
Nisha Agrawal

Introduction: Scleral buckling (SB) was the principal surgical intervention for patients with rhegmatogenous retinal detachment (RRD) until the development of pars plana vitrectomy. The study aims to evaluate the outcome of SB without subretinal fluid (SRF) drainage in RRD. Materials and methods:  A retrospective observational study was conducted at a tertiary eye care center. Charts of patients operated with SB without SRF drainage for RRD between January 2014 and December 2015 were evaluated. The main outcome measure was the primary reattachment rate at 1 month after single SB surgery. Other outcome measures were final reattachment rate after further intervention, visual improvement and relation of various parameters with retinal reattachment. Results: One hundred and seventeen patients were included of which 90 (76.9%) were men. Mean age was 26.68±12.6 years (Range 9-60). All eyes were phakic. Only 1 patient had a macula on RD. The primary reattachment rate was 84.6% (n=99). Mean LogMAR (±SD) visual acuity (VA) improved from 1.92(±0.46) to 1.02(±0.42). Extent of RD, number of breaks, and type of break was found to have no association with retinal reattachment. Association between type of PVR and status of retina post buckling was found to be significant (p=0.026) with retinal reattachment seen in 100% in PVR-A and only 60% in PVR-C2. Final reattachment rate was 98.2%. Complications encountered were postoperative diplopia (n=1), suture granuloma (n=1) and buckle infection (n=2). Conclusion: Scleral buckling without SRF drainage, an exclusively extra ocular procedure, is an effective and safe treatment modality for non-complicated RRD.


1996 ◽  
Vol 234 (9) ◽  
pp. 561-568 ◽  
Author(s):  
Heinrich Heimann ◽  
Norbert Bornfeld ◽  
Wilko Friedrichs ◽  
Horst Helbig ◽  
Ulrich Kellner ◽  
...  

2013 ◽  
Vol 23 (3) ◽  
pp. 417-422 ◽  
Author(s):  
Marta S. Figueroa ◽  
Inés Contreras ◽  
Susana Noval ◽  
L. Wu ◽  
J. F. Arevalo ◽  
...  

2016 ◽  
Vol 27 (1) ◽  
pp. 98-103 ◽  
Author(s):  
Hua Yan

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.


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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