Strabismus surgery outcomes after scleral buckling procedures for retinal reattachment

Purpose. To assess the outcome of sutureless encirlcing number 41 band and transscleral laser retinopexy in uncomplicated rhegmatogenous retinal detachment (RRD), using a wide-angle viewing system (WAVS) and chandelier endoillumination.Methods. Prospective intervention study included 30 eyes of 30 patients presenting with RRD of recent onset indicated for SB. All cases were treated by sutureless encircling number 41 band and transscleral laser retinopexy. Visualization was provided by the Resight WAVS and a single 27-gauge chandelier endoillumination. Anatomical and visual outcomes were evaluated.Results. The mean age of our group was 49.8 ± 12.3 years, and the mean duration of RD was 7 (0–50) days. Twenty-four eyes (80.0%) were phakic while the remaining 6 eyes (20%) were either pseudophakic or aphakic. The primary retinal reattachment rate was 83.3% (25 out of 30 eyes). LogMAR visual acuity improved from 1.3 (0.30–2.0) preoperatively to 1.0 (0.40–1.60) at first month (p=0.002) and to 0.70 (0.20–1.92) at third month (p<0.001).Conclusion. Sutureless encircling number 41 band with chandelier-assisted transscleral laser retinopexy is a safe and effective technique for managing uncomplicated RRD. It provides a high primary success rate while eliminating the complications of cryotherapy, sutures, and broad buckles.

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Outcome of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v6i1.5987 ◽

1970 ◽

Vol 6 (1) ◽

pp. 21-24

Author(s):

MI Hossain ◽

MK Hasan ◽

MSM Ali

Keyword(s):

Visual Acuity ◽

Retinal Detachment ◽

Rhegmatogenous Retinal Detachment ◽

Armed Forces ◽

Scleral Buckling ◽

Scleral Buckle ◽

Medical College ◽

Open Globe ◽

Retinal Reattachment ◽

History Of

A longitudinal study was carried out in the vitreo-retina clinic of the National Institute of Ophthalmology andHospital (NIO&H) on 30 eyes of 25 patients who were treated with scleral buckle (SB) surgery during theperiod of October 2004 to September 2005 of either sex. The aim of this study was to determine the outcome ofSB surgery in Rhegmatogenous retinal detachment (RRD). The main entry criteria for this study wereprimary RRD treated with SB and for which 12 weeks of follow-up were available. The eyes with proliferativevitreoretinopathy or with history of SB surgery, vitrectomy, posterior segment open-globe trauma orsignificant concurrent eye disease e.g. amblyopia, macular disease etc were excluded from this study. Overalltwenty-four eyes (80%) achieved retinal reattachment with one SB procedure (encircling or segmental); themedian 12-week visual acuity was 6/12. Three additional eyes (10%) achieved retinal reattachment with onevitreoretinal procedure; the median 12-week visual acuity was 6/9. Three eyes (10%) never achieved retinalreattachment despite one additional vitreoretinal procedure, and 12-week visual acuity was no perception oflight. It can be concluded that SB for primary RRD achieves anatomical efficacy and preservation of centralvision in the majority of eyes.Key words: Scleral buckle; Rhegmatogenous retinal detachment outcome.DOI: 10.3329/jafmc.v6i1.5987Journal of Armed Forces Medical College, Bangladesh Vol.6(1) 2010 p.21-24

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The Use of Tutoplast as an Adjunct in Scleral Buckle Procedure in Patients with Extremely Thin Sclera

Journal of Ophthalmic and Vision Research ◽

10.18502/jovr.v16i3.9448 ◽

2021 ◽

Author(s):

Matthew R. Starr ◽

Sophie J. Bakri

Keyword(s):

Retrospective Review ◽

Scleral Buckling ◽

Scleral Buckle ◽

Cyanoacrylate Glue ◽

Donor Tissue ◽

Retinal Reattachment

Extremely thin sclera often necessitates abortion of scleral buckle procedures. In patients in whom a scleral buckle is desired, previous techniques have included the use of cyanoacrylate glue and continuing with surgery or placing donor tissue over the areas of thin sclera, but this can delay surgery. This was a retrospective review of three patients with thin sclera encountered during scleral buckling procedures. All patients had Tutoplast Pericardial Graft placed over the areas of thin sclera which allowed the scleral buckle to be sutured onto the Tutoplast rather than the thin sclera. Tutoplast Pericardial Graft is a useful adjunct in scleral buckle procedures with extremely thin sclera, and a scleral buckle can be safely placed over it and lead to successful retinal reattachment.

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Strabismus surgery outcomes in the Infant Aphakia Treatment Study (IATS) at age 5 years

Journal of American Association for Pediatric Ophthalmology and Strabismus ◽

10.1016/j.jaapos.2016.09.014 ◽

2016 ◽

Vol 20 (6) ◽

pp. 501-505 ◽

Cited By ~ 4

Author(s):

Erick D. Bothun ◽

Michael J. Lynn ◽

Stephen P. Christiansen ◽

Stacey J. Kruger ◽

Deborah K. Vanderveen ◽

...

Keyword(s):

Strabismus Surgery ◽

Surgery Outcomes

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Anatomical retinal reattachment after scleral buckling with and without retinopexy: a pilot study

Acta Ophthalmologica ◽

10.1111/j.1600-0420.2007.01037.x ◽

2008 ◽

Vol 86 (3) ◽

pp. 297-301 ◽

Cited By ~ 4

Author(s):

Morteza Mahdizadeh ◽

Masoumeh Masoumpour ◽

Hossein Ashraf

Keyword(s):

Pilot Study ◽

Scleral Buckling ◽

Retinal Reattachment

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Scleral Buckling

Retinal Detachment ◽

10.1093/oso/9780195330823.003.0012 ◽

2009 ◽

Author(s):

Daniel A. Brinton ◽

Charles P. Wilkinson

Keyword(s):

Retinal Pigment Epithelium ◽

Pigment Epithelium ◽

Retinal Pigment ◽

Surgical Techniques ◽

Scleral Buckling ◽

Subretinal Space ◽

Scleral Buckle ◽

Retinal Breaks ◽

Retinal Reattachment ◽

Recent Developments

Inflammatory detachments are usually treated medically. Some serous detachments, such as choroidal hemangioma, respond to photocoagulation or photodynamic therapy (PDT). Selected traction detachments, such as diabetic or post-traumatic detachments, may be cured with intraocular microsurgery (vitrectomy). Radiation therapy is often used for detachments secondary to metastatic tumors. This chapter is confined to the surgical management of rhegmatogenous detachments with scleral buckling. Alternative methods of repair are discussed in Chapters 8 and 9, and the three techniques are compared in Chapter 10. Controversy exists regarding the details of the surgical technique, but surgeons generally agree on the three basic steps in closing retinal breaks and reattaching the retina:… 1. Conducting thorough preoperative and intraoperative 1. examinations with the goal of locating all retinal breaks and assessing any vitreous traction on the retina. 2. Creating a controlled injury to the retinal pigment epithelium and retina to produce a chorioretinal adhesion surrounding all retinal breaks so that intravitreal fluid can no longer reach the subretinal space. 3. Employing an appropriate technique, such as scleral buckling and/or intravitreal gas, to approximate the retinal breaks to the underlying treated retinal pigment epithelium…. If the surgeon follows these basics and applies modern surgical techniques, retinal reattachment may be expected following a single operation in more than 85% of uncomplicated primary detachments, and in more than 95% following additional procedures. The traditional scleral buckle has served very well since the 1950’s. However, more recent developments have produced a more comprehensive menu for retinal reattachment surgery from which the surgeon may select the appropriate procedure for each case. By the turn of the millennium, surveys had demonstrated that scleral buckling alone was no longer the most popular means of repairing uncomplicated primary retinal detachments. Still, it is a valuable technique that is indicated in many situations. Temporary scleral buckling can be performed with scleral infolding, gelatin, or orbital balloon. The term scleral buckling without a qualifying adjective is generally recognized as referring to a “permanent” scleral buckle with the implantation of a foreign material usually made of silicone.

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The Impact of the Covid-19 Pandemic on Rhegmatogenous Retinal Detachment Treatment Patterns

10.21203/rs.3.rs-526339/v1 ◽

2021 ◽

Author(s):

Jipeng Li ◽

Meng Zhao ◽

Haicheng She

Keyword(s):

Retinal Detachment ◽

Surgical Procedures ◽

Rhegmatogenous Retinal Detachment ◽

Subretinal Fluid ◽

Scleral Buckling ◽

Retinal Breaks ◽

Surgery Outcomes ◽

Potential Factors ◽

Subretinal Fluid Drainage ◽

The Impact

Abstract Background: To describe changes in rhegmatogenous retinal detachment (RRD) surgical procedures in Beijing during the COVID-19 pandemic. Material and Methods:A retrospective cohort of RRD patients was analyzed. Patients were divided into the COVID-19 pandemic group and pre-COVID-19 group according to their presentation. The presurgery characteristics, surgical procedures, and surgery outcomes were collected. The potential factors related to the choice of pars plana vitrectomy (PPV) or scleral buckling (SB) were analyzed using logistic regression. The differences in the procedure choice under specific conditions were compared. Surgery outcomes were compared between the two groups.Results:In the COVID-19 pandemic group, less patients received SB (27.8%, 41.3%, p=0.02) while more patients received PPV (72.2%, 58.6%, p=0.02); in patients who received SB, fewer patients received subretinal fluid drainage (45.4%,75.7%, p=0.01); in patients who received PPV, fewer patients received phacovitrectomy (7.0%, 21.0%, p=0.02). The choice of PPV was related to older age (1.03, p=0.005), the presence of RRD with choroidal detachment (RRD-CD) (2.92, p=0.03), pseudophakia (5.0, p=0.002), retinal breaks located posterior to the equator(4.87, p<0.001), macular holes (9.76, p=0.005), and a presurgery visual acuity (VA) less than 0.02 (0.44 , p=0.03). Fewer phakia patients with retinal breaks located posterior to the equator (1/28, 11/30, p=0.01) and fewer patients with chronic RRD and subretinal strand (1/9, 9/16, p=0.03) received SB in the COVID-19 pandemic group. More patients with improved VA (55.7%, 40.2%, p=0.03) in the COVID-19 pandemic group. The overall single-surgery retinal attachment rate was similar in the two groups (94.9%, 94.5%, p=0.99).Conclusions:During the COVID-19 pandemic, the main reason for the increased number of PPV in RRD treatment was that more complicated cases were presented. However, the surgeons were conservative in procedure choice in specific cases. The adjustments on RRD treatments leads to comparable surgery outcomes.

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The impact of the COVID-19 Pandemic on rhegmatogenous retinal detachment treatment patterns

BMC Ophthalmology ◽

10.1186/s12886-021-02127-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jipeng Li ◽

Meng Zhao ◽

Haicheng She

Keyword(s):

Retinal Detachment ◽

Surgical Procedures ◽

Rhegmatogenous Retinal Detachment ◽

Subretinal Fluid ◽

Scleral Buckling ◽

Retinal Breaks ◽

Surgery Outcomes ◽

Potential Factors ◽

Subretinal Fluid Drainage ◽

The Impact

Abstract Backgrounds To describe changes in rhegmatogenous retinal detachment (RRD) surgical procedures in Beijing during the COVID-19 Pandemic. Methods A retrospective cohort of RRD patients was analyzed. Patients were divided into the COVID-19 pandemic group and pre-COVID-19 group according to their presentation. The presurgery characteristics, surgical procedures, and surgery outcomes were collected. The potential factors related to the choice of pars plana vitrectomy (PPV) or scleral buckling (SB) were analyzed using logistic regression. The differences in the procedure choice under specific conditions were compared. Surgery outcomes were compared between the two groups. Results In the COVID-19 pandemic group, less patients received SB (27.8, 41.3%, p = 0.02) while more patients received PPV (72.2, 58.6%, p = 0.02); in patients who received SB, fewer patients received subretinal fluid drainage (45.4,75.7%, p = 0.01); in patients who received PPV, fewer patients received phacovitrectomy (7.0, 21.0%, p = 0.02). The choice of PPV was related to older age (1.03, p = 0.005), the presence of RRD with choroidal detachment (RRD-CD) (2.92, p = 0.03), pseudophakia (5.0, p = 0.002), retinal breaks located posterior to the equator (4.87, p < 0.001), macular holes (9.76, p = 0.005), and a presurgery visual acuity (VA) less than 0.02 (0.44, p = 0.03). Fewer phakia patients with retinal breaks located posterior to the equator (1/28, 11/30, p = 0.01) and fewer patients with chronic RRD and subretinal strand (1/9, 9/16, p = 0.03) received SB in the COVID-19 pandemic group. There were more patients with improved VA (55.7, 40.2%, p = 0.03) in the COVID-19 pandemic group. The overall single-surgery retinal attachment rate was similar in the two groups (94.9, 94.5%, p = 0.99). Conclusions During the COVID-19 Pandemic, the main reason for the increased number of PPV in RRD treatment was that more complicated cases were presented. However, the surgeons were conservative in procedure choice in specific cases. The adjustments on RRD treatments lead to comparable surgery outcomes.

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