April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment
Author Affiliations & Notes
  • Anna Gabrielian
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Jack A. Cohen
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Joseph M. Civantos
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • John S. Pollack
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Mathew M. MacCumber
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Pauline T. Merrill
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Sohail J. Hasan
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Zac B. Ravage
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Kirk H. Packo
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Kourous Rezaei
    Ophthalmology, Illinois Retina Associates, Rush Univ Medical Ctr, Chicago, Illinois
  • Footnotes
    Commercial Relationships  Anna Gabrielian, None; Jack A. Cohen, None; Joseph M. Civantos, None; John S. Pollack, None; Mathew M. MacCumber, None; Pauline T. Merrill, None; Sohail J. Hasan, None; Zac B. Ravage, None; Kirk H. Packo, None; Kourous Rezaei, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 6164. doi:https://doi.org/
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      Anna Gabrielian, Jack A. Cohen, Joseph M. Civantos, John S. Pollack, Mathew M. MacCumber, Pauline T. Merrill, Sohail J. Hasan, Zac B. Ravage, Kirk H. Packo, Kourous Rezaei; Scleral Buckling Surgery for Rhegmatogenous Retinal Detachment. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6164. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To review characteristics and outcomes of patients who underwent scleral buckling (SB) surgery for repair of rhegmatogenous retinal detachment (RRD) in a multi-office retina practice.

Methods: : A retrospective chart review was conducted on patients who underwent primary SB surgery from 2005 to 2009 by ten surgeons. Patients with <6 months of follow-up were excluded. Data collected on each patient included: duration of follow-up, age, sex, lens status, presence of posterior vitreous detachment (PVD), vitreous hemorrhage (VH), lattice degeneration, myopia, proliferative vitreoretinopathy (PVR), macular status, mean number of retinal breaks, extent of RRD, pre-operative and final visual acuity (VA), the number of procedures needed to reattach the retina, and the final anatomic status of retina.

Results: : 135 eyes of 133 patients were evaluated. Mean follow-up was 29.8 months (range, 6-62). Mean age was 48 years (range, 5-85). Seven eyes (5.2%) were pseudophakic, 31.1% had lattice degeneration, 57% were myopic, 41.5% had PVD, 6.7% had VH and 10.4% had PVR upon presentation. The mean number of retinal breaks was 1.8 (range, 1-6) and the mean extent of RRD was 4.9 clock hours (range, 1.5-12). Macula was detached in 67 eyes (49.6%). Reattachment rate after one surgical procedure was 87.4% (118/135), while overall reattachment rate was 100%. The mean initial VA was 20/100 (range, 20/15 - light perception (LP)) and mean final VA was 20/40 (range, 20/20 - 2/200). In macula off RRDs, the mean initial VA was 20/100 (range, 20/15 - LP), and the mean final VA was 20/40 (range 20/15 - 2/200). 62.7% of macula off RRDs had final VA of 20/40 or better, while 72% of macula on RRDs had final VA of 20/40 or better. Seventeen eyes (12.6%) required more than one procedure to reattach the retina: twelve eyes (8.9%) re-detached, five (3.7%) had persistent subretinal fluid. Three eyes (2.2%) developed epiretinal membranes requiring surgery, two eyes (1.5%) required SB removal, and one eye (0.7%) developed a macular hole.

Conclusions: : Primary SB leads to successful anatomic reattachment with significant visual improvement. 12.6% of eyes required more than one procedure to reattach the retina. A significant number of patients with macula off RRD developed a visual acuity of 20/40 or better.

Keywords: retinal detachment • retina 
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