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Jonathan S Chang, Harry W Flynn, Audina M Berrocal; Retinal detachment from retinal dialysis managed by scleral buckling surgery. Invest. Ophthalmol. Vis. Sci. 2014;55(13):3875.
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© ARVO (1962-2015); The Authors (2016-present)
To review anatomical and functional outcomes of rhegmatogenous retinal detachments (RD) due retinal dialysis managed with scleral buckling surgery.
Retrospective chart review of patients treated at Bascom Palmer Eye Institute from 1/1/2002-10/31/2013 of patients undergoing RD repair. All patients had rhegmatogenous retinal detachment caused by retinal dialysis, and surgical treatment with scleral buckling. Patients were excluded in cases of penetrating trauma or if they underwent primary repair with pars plana vitrectomy. Outcomes included post-operative anatomic status and visual acuity (VA).
A total of 11 eyes of 11 patients were identified. The mean patient age was 22.4 years (range 6-39). There were 7 males and 4 females. The average amount of follow up was 283 days (range 9-959). Nine patients had a history of blunt trauma preceding the injury. The location of the retinal dialysis was inferotemporal in 7 of the patients, inferior in 2 patients and nasal in 2 patients. All patients were phakic and treated with an encircling scleral buckle. Mean pre-operative VA was 20/107 (range 20/20-20/2000). Mean post-operative VA was 20/54 (range 20/20-20/1000). VA improved in 5 patients (45%) and was stable in 3 patients (27%). 6 patients (55%) had final VA ≥ 20/40, 4 patients (36%) had final VA 20/40-20/100. Two patients (18%) required re-operation with vitrectomy surgery for recurrent retinal detachment. Re-operation was performed 14-21 days after initial surgery. No complications were noted in patients who only underwent a single surgery. The retina was re-attached in all cases (100%) at last available follow-up.
Scleral buckling is an effective way to manage retinal detachment associated with retinal dialysis in young phakic patients.
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