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Anatomic success of scleral buckling for rhegmatogenous retinal detachment--a retrospective study of 524 cases.
Ophthalmologica. 2010; 224(5):312-8.O

Abstract

BACKGROUND/AIM

Our purpose was to investigate the anatomic success of scleral buckling surgery for rhegmatogenous retinal detachment.

MATERIAL AND METHODS

A total of 524 consecutive patients were retrospectively analysed. Several parameters including the lens status, number of breaks and extent of retinal detachment, preoperative proliferative vitreoretinopathy and refractive errors were examined. The minimum follow-up was 6 months. The primary success rate was defined as anatomic success being stable over a period of at least 6 months after surgery. The secondary success rate was defined as anatomic success after the second intervention if necessary. Besides an analysis over all patients, the patients were grouped according to the severity of the preoperative situation in simple, medium and severe cases.

RESULTS

The overall primary anatomic success rate was 84.7% and the secondary success rate 96.4% after 1 initial scleral buckling surgery and 1 additional surgery in case of persisting retinal detachment, and 19.1% of the patients with an initially attached retina after 1 scleral buckling surgery experienced a redetachment in the postoperative course and were successfully treated in 60/85 cases. In phakic patients (n = 359) the primary success rate was 89.7%, whereas in pseudophakic patients (n = 165) a primary success rate of 73.9% was obtained. The primary success was additionally influenced by the extent of the retinal detachment measured in clock hours (p < 0.001), undetected holes (p = 0.004), small (p = 0.037) and no gas tamponade (p = 0.021). In simple, medium and severe cases, phakic patients always achieved better anatomic results (89.9, 89.1 and 90.2%) compared to pseudophakic ones (82.5, 70.3 and 36.4%).

CONCLUSION

Scleral buckling is a very good surgical option in phakic patients irrespective of the preoperative severity and simple cases in pseudophakic patients. Scleral buckling represents a surgical technique worth being trained and performed in the light of favourable results especially in phakic eyes.

Authors+Show Affiliations

Department of Ophthalmology, Ludwig-Maximilians University, Munich, Germany. christos.haritoglou@med.uni-muenchen.deNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20332656

Citation

Haritoglou, Christos, et al. "Anatomic Success of Scleral Buckling for Rhegmatogenous Retinal Detachment--a Retrospective Study of 524 Cases." Ophthalmologica. Journal International D'ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde, vol. 224, no. 5, 2010, pp. 312-8.
Haritoglou C, Brandlhuber U, Kampik A, et al. Anatomic success of scleral buckling for rhegmatogenous retinal detachment--a retrospective study of 524 cases. Ophthalmologica. 2010;224(5):312-8.
Haritoglou, C., Brandlhuber, U., Kampik, A., & Priglinger, S. G. (2010). Anatomic success of scleral buckling for rhegmatogenous retinal detachment--a retrospective study of 524 cases. Ophthalmologica. Journal International D'ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde, 224(5), 312-8. https://doi.org/10.1159/000298752
Haritoglou C, et al. Anatomic Success of Scleral Buckling for Rhegmatogenous Retinal Detachment--a Retrospective Study of 524 Cases. Ophthalmologica. 2010;224(5):312-8. PubMed PMID: 20332656.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anatomic success of scleral buckling for rhegmatogenous retinal detachment--a retrospective study of 524 cases. AU - Haritoglou,Christos, AU - Brandlhuber,Ulrich, AU - Kampik,Anselm, AU - Priglinger,Siegfried G, Y1 - 2010/03/23/ PY - 2009/09/17/received PY - 2009/12/11/accepted PY - 2010/3/25/entrez PY - 2010/3/25/pubmed PY - 2010/10/22/medline SP - 312 EP - 8 JF - Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde JO - Ophthalmologica VL - 224 IS - 5 N2 - BACKGROUND/AIM: Our purpose was to investigate the anatomic success of scleral buckling surgery for rhegmatogenous retinal detachment. MATERIAL AND METHODS: A total of 524 consecutive patients were retrospectively analysed. Several parameters including the lens status, number of breaks and extent of retinal detachment, preoperative proliferative vitreoretinopathy and refractive errors were examined. The minimum follow-up was 6 months. The primary success rate was defined as anatomic success being stable over a period of at least 6 months after surgery. The secondary success rate was defined as anatomic success after the second intervention if necessary. Besides an analysis over all patients, the patients were grouped according to the severity of the preoperative situation in simple, medium and severe cases. RESULTS: The overall primary anatomic success rate was 84.7% and the secondary success rate 96.4% after 1 initial scleral buckling surgery and 1 additional surgery in case of persisting retinal detachment, and 19.1% of the patients with an initially attached retina after 1 scleral buckling surgery experienced a redetachment in the postoperative course and were successfully treated in 60/85 cases. In phakic patients (n = 359) the primary success rate was 89.7%, whereas in pseudophakic patients (n = 165) a primary success rate of 73.9% was obtained. The primary success was additionally influenced by the extent of the retinal detachment measured in clock hours (p < 0.001), undetected holes (p = 0.004), small (p = 0.037) and no gas tamponade (p = 0.021). In simple, medium and severe cases, phakic patients always achieved better anatomic results (89.9, 89.1 and 90.2%) compared to pseudophakic ones (82.5, 70.3 and 36.4%). CONCLUSION: Scleral buckling is a very good surgical option in phakic patients irrespective of the preoperative severity and simple cases in pseudophakic patients. Scleral buckling represents a surgical technique worth being trained and performed in the light of favourable results especially in phakic eyes. SN - 1423-0267 UR - https://www.unboundmedicine.com/medline/citation/20332656/Anatomic_success_of_scleral_buckling_for_rhegmatogenous_retinal_detachment__a_retrospective_study_of_524_cases_ L2 - https://www.karger.com?DOI=10.1159/000298752 DB - PRIME DP - Unbound Medicine ER -