June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Encircling scleral buckling for the treatment of retinal detachment: Development in indication and outcome within the last decade
Author Affiliations & Notes
  • Johannes Iby
    Ophthalmology and Optometry, Medizinische Universitat Wien, Wien, Wien, Austria
  • Marlene Hollaus
    Ophthalmology and Optometry, Medizinische Universitat Wien, Wien, Wien, Austria
  • Katharina Margaretha Eibenberger
    Ophthalmology and Optometry, Medizinische Universitat Wien, Wien, Wien, Austria
  • Gregor Sebastian Reiter
    Ophthalmology and Optometry, Medizinische Universitat Wien, Wien, Wien, Austria
  • Andreas Pollreisz
    Ophthalmology and Optometry, Medizinische Universitat Wien, Wien, Wien, Austria
  • Ursula Schmidt-Erfurth
    Ophthalmology and Optometry, Medizinische Universitat Wien, Wien, Wien, Austria
  • Michael Georgopoulos
    Ophthalmology and Optometry, Medizinische Universitat Wien, Wien, Wien, Austria
  • Stefan Sacu
    Ophthalmology and Optometry, Medizinische Universitat Wien, Wien, Wien, Austria
  • Footnotes
    Commercial Relationships   Johannes Iby None; Marlene Hollaus None; Katharina Eibenberger None; Gregor Reiter None; Andreas Pollreisz None; Ursula Schmidt-Erfurth None; Michael Georgopoulos None; Stefan Sacu None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 3430 – F0330. doi:
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      Johannes Iby, Marlene Hollaus, Katharina Margaretha Eibenberger, Gregor Sebastian Reiter, Andreas Pollreisz, Ursula Schmidt-Erfurth, Michael Georgopoulos, Stefan Sacu; Encircling scleral buckling for the treatment of retinal detachment: Development in indication and outcome within the last decade. Invest. Ophthalmol. Vis. Sci. 2022;63(7):3430 – F0330.

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

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Abstract

Purpose : To evaluate the use of encircling scleral buckling surgical technique for the treatment of retinal detachment (RD) and its complications as well as success rate within the last decade.

Methods : This retrospective observational study included 116 eyes receiving encircling scleral buckling (ESB) or encircling scleral buckling combined with vitrectomy (SBV) between January 2009 and December 2018. The main outcome measures include the development in usage rate of surgical procedures (either ESB or SBV), indications as well as mean age. Furthermore, intra-/postoperative complications, intraocular tamponades as well as the influences on functional outcome (VA) and central retinal thickness (CRT) were evaluated.

Results : During our 10 years of observation, ESB and SBV surgeries decreased in the first six years from initially 28.9% of all RD-operations to 2.9%, before increasing again to 6.7% between 2017-2018 (p < 0.001, Chi-Square test). The mean age for receiving ESB or SBV surgery differed significantly over the years from 56.58 ± 17.33 between 2009 – 2010 to 37.89 ± 28.08 between 2017-2018 (p < 0.001, ANOVA). Functional outcome after a mean follow-up time of 1501 ± 1266 days increased from 1.318 ± 0.871 logMar at baseline (BSL) to 0.853 ± 0.845 logMar at the latest follow-up visit. Significant influence on VA was expansion of RD (macula on/off) (p < 0.001), significant influences on CRT were postoperative macular edema (p < 0.001), surgical technique (ESB or SBV) (p = 0.022) and expansion of RD (p = 0.026).

Conclusions : After an initial decrease, an increase in SB and SBV surgeries was noticed at the end of the observational period, with a significant reduction in mean age. No significant differences in functional outcome as well as intra- and postoperative complications could be observed over the years.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

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