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Shohei Morikawa, Yoshifumi Okamoto, Fumiki Okamoto, Takahiro Hiraoka, Tetsuro Oshika; Refractive changes after scleral buckling for rhegmatogenous retinal detachment. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1033. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate refractive changes after scleral buckling for rhegmatogenous retinal detachment (RD).
A retrospective chart review was conducted in 77 eyes of 77 patients (39.1 ± 15.5 years old) who had undergone scleral buckling for rhegmatogenous RD. Spherical equivalent (SE) was evaluated before and 1, 3, 6, 12, 24, 36, and 48 months after scleral buckling. Other data collected included age, history of diabetes mellitus, retinal tear size, numberof RD quadrant, degree of explant tube, number of cryo-coagulations, performance of subretinal fluid drainage, and use of gas-tamponade.
Continuous myopic shift was observed in the operated eyes throughout the study period. The rate of myopic progression in the operated and fellow eyes was -0.20 and -0.11 diopter/year, respectively. However, there was no significant difference in postoperative SE between the operated and fellow eyes, and there was no case of anisometropia over 2 diopters during the study period. The rate of myopic progression in the operated eyes was not significantly correlated with all parameters, including age, history of diabetes mellitus, retinal tear size, RD quadrant, degree of explant tube, number of cryo-coagulations, drainage of subretinal fluid, and use of gas-tamponade (p = 0.96, 0.50, 0.77, 0.66, 0.33, 0.83, 0.21, 0.80, respectively).
Scleral buckling for RD did not induce a significant myopic shift compared to the contralateral control eyes.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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