Long-term visual recovery after scleral buckling procedure of rhegmatogenous retinal detachment involving the macula

2000 ◽  
Vol 14 (1) ◽  
pp. 20 ◽  
Author(s):  
S D Chang ◽  
I T Kim
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Visual Recovery ◽  
Scleral Buckling Procedure

scholarly journals Forced Duction Test: Is It Necessary after the Scleral Buckling Procedure?

2020 ◽  
Vol 11 (2) ◽  
pp. 282-286
Author(s):  
Mohammad Sharifi ◽  
Mohammad Reza Ansari Astaneh
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Motility Disorder ◽  
Ocular Motility ◽  
Ocular Movement ◽  
Scleral Buckling Procedure ◽  
Movement Limitation ◽  
Restrictive Strabismus

A 14-year-old boy who had ocular motility disorder which started 2 weeks following retinal surgery (scleral buckling) secondary to rhegmatogenous retinal detachment, was referred to the strabismus clinic. He had significant ocular movement limitations in adduction and elevation under general anesthesia. The forced duction test (FDT) was positive in both adduction and elevation. After buckle removal, FDT was negative. The eye was orthotropic without ocular movement limitation at final follow-up. In conclusion, FDT at the end of the scleral buckling procedure needs to be performed. It may prevent restrictive strabismus after scleral buckling surgery.

Visual Recovery after Scleral Buckling Surgery in Macula-Off Rhegmatogenous Retinal Detachment

2006 ◽  
Vol 220 (3) ◽  
pp. 174-180 ◽  
Author(s):  
Fang Liu ◽  
Carsten H. Meyer ◽  
Stefan Mennel ◽  
Steffen Hoerle ◽  
Peter Kroll
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Visual Recovery

Long-term changes in ocular rigidity following scleral buckling for rhegmatogenous retinal detachment

2021 ◽  
Author(s):  
Abdussalam M. Abdullatif ◽  
Ahmed Saad Albalkini ◽  
Mohamed Saad Albalkini ◽  
Tamer A. Macky ◽  
Ayman Khattab ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Long Term Changes

Visual Recovery after Scleral Buckling Procedure for Retinal Detachment

Ophthalmology ◽  
2006 ◽  
Vol 113 (10) ◽  
pp. 1734-1742 ◽  
Author(s):  
Alberto Salicone ◽  
William E. Smiddy ◽  
Anna Venkatraman ◽  
William Feuer
Keyword(s):  
Retinal Detachment ◽  
Scleral Buckling ◽  
Visual Recovery ◽  
Scleral Buckling Procedure

scholarly journals Long-term ocular biometric variations after scleral buckling surgery in macula-on rhegmatogenous retinal detachment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Giuseppe Maria Albanese ◽  
Alberto Cerini ◽  
Giacomo Visioli ◽  
Marco Marenco ◽  
Magda Gharbiya
Keyword(s):  
Retinal Detachment ◽  
Predictive Factor ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Corneal Astigmatism ◽  
Power Calculation ◽  
Myopic Shift ◽  
Fellow Eyes ◽  
Anterior Corneal Astigmatism

Abstract Background Myopic shift and biometric ocular changes have been previously observed after scleral buckling (SB) surgery in rhegmatogenous retinal detachment (RRD), 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 RRD treated with SB. 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 Thirty-four 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 AXL increase of 0.83 mm and a concomitant myopic shift of 1.35 diopters was observed in the operated eyes (p <  0.0001). The preoperative AXL was the only predictive factor of AXL change after surgery (B = 0.152, 95% CI 0.059 to 0.245, β = 0.668, P = 0.003). Compared to fellow eyes, a postoperative ACD shallowing of 0.1 mm was found in operated eyes (p <  0.05), while there were no long-term changes of anterior corneal astigmatism. Conclusions We show that the preoperative AXL is the only predictive factor of AXL increase after SB surgery. Scleral encircling induces a concomitant long-term shallowing of the AC, therefore fourth generation intraocular lens (IOL) power calculation formulae should be used for patients requiring cataract surgery after SB.

scholarly journals Long-Term Ocular Biometric Variations After Scleral Buckling Surgery in Macula on Rhegmatogenous Retinal Detachment.

2020 ◽  
Author(s):  
Giuseppe Maria Albanese ◽  
Alberto Cerini ◽  
Giacomo Visioli ◽  
Marco Marenco ◽  
Magda Gharbiya
Keyword(s):  
Retinal Detachment ◽  
Predictive Factor ◽  
Axial Length ◽  
Rhegmatogenous Retinal Detachment ◽  
Anterior Chamber Depth ◽  
Scleral Buckling ◽  
Fourth Generation ◽  
Power Calculation ◽  
Myopic Shift

Abstract 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 AXL increase of 0.83 mm and a concomitant myopic shift of 1.35 diopters was observed in the operated eyes (p < 0.0001). The preoperative axial length was the only predictive factor of axial length change after surgery (B = 0.152, 95% CI 0.059 to 0.245, β = 0.668, P = 0.003). Compared to fellow eyes, a postoperative ACD shallowing of 0.1 mm was found in operated eyes (p < 0.05), while there were no long-term changes of anterior corneal astigmatism.CONCLUSIONS: we show that the preoperative axial length is the only predictive factor of AXL increase after SB surgery. Scleral encircling induces a concomitant long-term shallowing of the AC, therefore fourth generation intraocular lens (IOL) power calculation formulae, should be used for patients requiring cataract surgery after SB.

scholarly journals Scleral Buckling in Phakic Uncomplicated Primary Rhegmatogenous Retinal Detachment: Long-Term Outcomes

2016 ◽  
Vol 27 (2) ◽  
pp. 220-225 ◽  
Author(s):  
Claudia Quijano ◽  
Micol Alkabes ◽  
Maria Gómez-Resa ◽  
Andrea Oleñik ◽  
Edoardo Villani ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Open Angle Glaucoma ◽  
Scleral Buckling ◽  
Long Term Outcomes ◽  
Clinical Notes ◽  
Pars Plana ◽  
Surgical Cost

Purpose Scleral buckling (SB) is a surgical technique that has been used successfully to treat retinal detachments for the last 6 decades. The aim of this study was to report the long-term anatomical and functional outcomes of SB surgery in phakic patients with uncomplicated primary rhegmatogenous retinal detachment (PRRD). This article also outlines the benefits of SB compared to pars plana vitrectomy, such as reducing the risk of developing cataract, high intraocular pressure, and glaucoma, in addition to reducing surgical cost. Methods We retrospectively reviewed the clinical notes of 90 phakic eyes with PRRD treated with SB surgery that had a minimum of 5 years follow-up. Preoperative and postoperative characteristics were recorded. Main outcome measures were reattachment rate, best-corrected visual acuity (BCVA) improvement, and complications. Results A total of 90 eyes (88 patients) with phakic PRRD repaired through SB surgery were included. Mean age was 49.2 ± 14.6 years (range 20-80). Primary and final anatomic success was 96.7% and 100%, respectively. Mean preoperative BCVA was 0.3 ± 0.31 logMAR (6/12) and mean postoperative BCVA 0.1 ± 0.2 logMAR (p<0.001) (6/7.5). There were no cataract or primary open-angle glaucoma cases after 1 year of follow-up. Mean follow-up was 8.5 ± 2.6 years (range 5-13). Conclusions We report a high single operation success rate over time in phakic PRRD, repaired through SB surgery. Functional and anatomical success was maintained throughout the follow-up without complications. Therefore, the authors recommend the use of this technique in selected cases in order to reduce morbidity and the incidence of reoperations.

scholarly journals Long-term Clinical Results of Vitrectomy and Scleral Buckling in Treatment of Rhegmatogenous Retinal Detachment

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
I. Schmidt ◽  
N. Plange ◽  
G. Rößler ◽  
H. Schellhase ◽  
A. Koutsonas ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Success Rate ◽  
Rhegmatogenous Retinal Detachment ◽  
Case Series ◽  
Clinical Results ◽  
Scleral Buckling ◽  
Long Term Results ◽  
Encircling Band

Purpose. Most studies about retinal detachment cover a limited follow-up period. The purpose of this research is to assess the long-term results after pars plana vitrectomy (PPV) and scleral buckle (SB) surgery in patients with rhegmatogenous retinal detachment (RRD). Methods. 155 patients with RRD are treated either with SB or PPV with a mean follow-up of more than 5 years. Retrospective analysis of patient data with RRD was performed between January 2006 and June 2008 at a tertiary eye clinic. Results. Overall primary success rate was 85.2% (PPV: 84.6%, SB: 89.5%; p=0.57). 90.5% of redetachments appeared within the first 124 days. No significant different success rate was found for vitrectomy with and without additional encircling band (p=0.09). No advantage of a supplemental encircling band in cases of preoperative inferior breaks was seen (p=0.81). Patients of SB group were treated more frequently in follow-up time because of epiretinal membrane (ERM) (SB: 15.5% versus PPV: 7.3%). No patient of the PPV group without intraoperative use of endolaser cerclage (14.7%) had any peeling surgery postoperatively. Conclusion. Redetachment rates of both methods are comparable in a clinical setting where PPV is considered a suitable method for pseudophakic patients and in complex cases and SB was performed in younger phakic patients with clearly identified retinal tears. PPV seems to show a more heterogenous pattern of complications. No advantage of a supplemental encircling band could be found in these case series of patients with primary RRD. No relevant long-term risk of redetachment was seen after SB.

scholarly journals Using Surgical Microscope for Sclera Buckling and Transscleral Cryopexy: An Alternative Procedure of Treatment for Rhegmatogenous Retinal Detachment

2014 ◽  
Vol 2014 ◽  
pp. 1-7
Author(s):  
Liu-xue-ying Zhong ◽  
Yi Du ◽  
Wen Liu ◽  
Su-Ying Huang ◽  
Shao-chong Zhang
Keyword(s):  
Retinal Detachment ◽  
Proliferative Vitreoretinopathy ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Surgical Microscope ◽  
Initial Surgery ◽  
Retinal Breaks ◽  
Retinal Reattachment ◽  
Indirect Ophthalmoscope

Purpose.To observe the long-term effectiveness of scleral buckling and transscleral cryopexy conducted under a surgical microscope in the treatment of uncomplicated rhegmatogenous retinal detachment.Methods.This was a retrospective analysis in a total of 227 consecutive patients (244 eyes) with uncomplicated rhegmatogenous retinal detachment (proliferative vitreoretinopathy ≤ C2). All patients underwent scleral buckling and transscleral cryopexy under a surgical microscope without using a binocular indirect ophthalmoscope or a contact lens.Results.After initial surgery, complete retinal reattachment was achieved in 226 eyes (92.6%), and retinal redetachment developed in 18 eyes (7.4%). The causes of retinal redetachment included presence of new breaks in eight eyes (44%), failure to completely seal the breaks in five eyes (28%), missed retinal breaks in four eyes (22%), and iatrogenic retinal breaks in one eye (6%). Scleral buckling surgery was performed again in 12 eyes (66%). Four eyes (22%) developed proliferative vitreoretinopathy and then were treated by vitrectomy. The sealing of retinal breaks and complete retinal reattachment were achieved in 241 eyes (98.8%).Conclusion.Probably because of clear visualization of retinal breaks and being controllable under a surgical microscope, the microsurgery of scleral buckling and transscleral cryopexy for uncomplicated retinal detachment exhibits advisable effectiveness.

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