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B.H. Zwerling, J.C. Lai, V.A. Deramo, B.J. Rosenblatt; Success of Scleral Buckle Following Failed Pneumatic Retinopexy for Repair of Rhegmatogenous Retinal Detachment . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5499.
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Purpose: To report baseline characteristics and outcomes in a group of patients undergoing scleral buckling procedure (SBP) following failed pneumatic retinopexy (PR) for the repair of rhegmatogenous retinal detachment (RRD). Methods: A retrospective chart review of over 400 consecutive patients who underwent PR for RRD. Of these, we identified 40 patients who subsequently underwent SB procedure in the same eye. These patients were followed for an average of 2.8 years from their initial presentation with RRD. Results: Eleven of 40 eyes re–detached following SBP (28%). All 11 underwent pars plana vitrectomy (PPV), and were attached at last follow up. Nine of the 11 (82%) required vitrectomy within 2 months of the SBP. Of the 40 patients who failed the initial PR, 28 (70%) were males and 12 (30%) females, and the average age on presentation was 59.9. Twenty–two (55%) eyes were phakic, 17 (43%) pseudophakic, and 1 (2%) was aphakic. 21 (53%) eyes presented with macula on detachments, 19 (47%) with the macula detached. Only one retinal break was identified in 26 (65%) patients. When compared to visual acuity on initial presentation, 85% of patients had lost fewer than 2 lines of vision at last follow up. Conclusions: SB after failed PR for RRD resulted in a markedly higher rate of re–detachment than has been elsewhere reported for standard SB procedures. This study raises the possibility that a SB with PPV may be considered in some failed PR.
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