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

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.

Primary vitrectomy without scleral buckling for rhegmatogenous retinal detachment

1996 ◽  
Vol 234 (9) ◽  
pp. 561-568 ◽  
Author(s):  
Heinrich Heimann ◽  
Norbert Bornfeld ◽  
Wilko Friedrichs ◽  
Horst Helbig ◽  
Ulrich Kellner ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Primary Vitrectomy

Primary Vitrectomy Surgery in Rhegmatogenous Retinal Detachment; Indications and Techniques

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.

Scleral Buckling and Primary Vitrectomy in Simple Rhegmatogenous Retinal Detachment

2010 ◽  
Vol 51 (3) ◽  
pp. 366 ◽  
Author(s):  
Tae Hyuk Koh ◽  
Moon Jeong Choi ◽  
Sung Won Cho ◽  
Tae Gon Lee ◽  
Jae Heung Lee
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Primary Vitrectomy

Primary Vitrectomy without Scleral Buckling for Pseudophakic Rhegmatogenous Retinal Detachment

2008 ◽  
Vol 145 (6) ◽  
pp. 1063-1070.e2 ◽  
Author(s):  
Efstratios Mendrinos ◽  
Nathalie P. Dang-Burgener ◽  
Alexandros N. Stangos ◽  
Jorg Sommerhalder ◽  
Constantin J. Pournaras
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Primary Vitrectomy

scholarly journals Outcome of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment

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

scholarly journals Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures

2021 ◽  
Author(s):  
Matthew R. Starr ◽  
Edwin H. Ryan ◽  
Anthony Obeid ◽  
Claire Ryan ◽  
Xinxiao Gao ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Retrospective Study ◽  
Retinal Detachment ◽  
Success Rate ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Scleral Buckle ◽  
Scleral Tunnel ◽  
The Mean ◽  
Anatomic Success

Purpose: There are primarily two techniques for affixing the scleral buckle (SB) to the sclera in the repair of rhegmatogenous retinal detachment (RRD): scleral tunnels or scleral sutures. Methods: This retrospective study examined all patients with primary RRD who were treated with primary SB or SB combined with vitrectomy from January 1, 2015 through December 31, 2015 across six sites. Two cohorts were examined: SB affixed using scleral sutures versus scleral tunnels. Pre- and postoperative variables were evaluated including visual acuity, anatomic success, and postoperative strabismus. Results: The mean preoperative logMAR VA for the belt loop cohort was 1.05 ± 1.06 (Snellen 20/224) and for the scleral suture cohort was 1.03 ± 1.04 (Snellen 20/214, p = 0.846). The respective mean postoperative logMAR VAs were 0.45 ± 0.55 (Snellen 20/56) and 0.46 ± 0.59 (Snellen 20/58, p = 0.574). The single surgery success rate for the tunnel cohort was 87.3% versus 88.6% for the suture cohort (p = 0.601). Three patients (1.0%) in the scleral tunnel cohort developed postoperative strabismus, but only one patient (0.1%) in the suture cohort (p = 0.04, multivariate p = 0.76). All cases of strabismus occurred in eyes that underwent SB combined with PPV (p = 0.02). There were no differences in vision, anatomic success, or strabismus between scleral tunnels versus scleral sutures in eyes that underwent primary SB. Conclusion: Scleral tunnels and scleral sutures had similar postoperative outcomes. Combined PPV/SB in eyes with scleral tunnels might be a risk for strabismus post retinal detachment surgery.

Outcomes of Combined Scleral Buckling Plus Pneumatic Retinopexy Vs. Scleral Buckling for Primary Rhegmatogenous Retinal Detachment

2021 ◽  
pp. 112067212110640
Author(s):  
Yehonatan Weinberger ◽  
Amir Sternfeld ◽  
Natalie Hadar-Cohen ◽  
Matthew T.S. Tennant ◽  
Assaf Dotan
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Medical Center ◽  
Scleral Buckling ◽  
Added Value ◽  
Scleral Buckle ◽  
Pneumatic Retinopexy ◽  
Corrected Visual Acuity ◽  
Best Corrected Visual Acuity

Purpose To evaluate the outcomes and complications of scleral buckle surgery alone or combined with pneumatic retinopexy (pneumatic buckle) for the treatment of primary rhegmatogenous retinal detachment. Design Retrospective chart review. Participants Two hundred thirteen patients with rhegmatogenous retinal detachment of whom 101 underwent primary scleral buckle surgery at Rabin Medical Center in 2005–2015 (SB group) and 112 underwent pneumatic buckle surgery at Royal Alexandra Hospital in 2013–2015 (PB group). Methods All patients were followed for ≥12 months. Data on clinical and surgical parameters, outcome, and complications were collected from the medical files. Main Outcome Measures Best corrected visual acuity and anatomical outcomes. Results At 12 months, average best corrected visual acuity was 0.3 logMar in the SB group and 0.42 logMar in the PB group ( P < 0.05). Rates of anatomical reattachment were high and similar in the two groups (99% and 97%, respectively, P = 0.623). The SB group had a higher percentage of patients requiring additional laser applications (21% vs. 7%; P < 0.01) and buckle readjustment surgery (6% vs. 0; P = 0.01), and the PB group had a higher percentage of patients who required postoperative pars plana vitrectomy (30% vs. 17%; P = 0.03). Conclusion Scleral buckle surgery alone is efficient for the treatment of rhegmatogenous retinal detachment. Its combination with pneumatic retinopexy usually has no significant added value in terms of anatomical reattachment rate. Outcomes of Pneumatic buckling vs Scleral Buckling for RRD

Primary vitrectomy without scleral buckling for rhegmatogenous retinal detachment.

1997 ◽  
Vol 123 (5) ◽  
pp. 721-722
Author(s):  
N Bornfeld ◽  
W Friedrichs ◽  
H Helbig ◽  
U Kellner ◽  
A Korra ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Scleral Buckling ◽  
Primary Vitrectomy
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