ISSN: 2459 - 1777
Volume: 2
Issue: 3
Year: 2017
Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment [Beyoglu Eye J]
Beyoglu Eye J. 2017; 2(3): 77-80 | DOI: 10.14744/bej.2017.09719  

Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment

Ahmet Alperen Koc, Gokhan Demir, Okkes Baz, Ali Demircan, Dilek Yasa, Sibel Ahmet, Zeynep Alkin, Muhittin Taskapili
University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey

INTRODUCTION: The aim of this study was to present the anatomical and functional results of scleral buckling (SB) surgery performed in cases of rhegmatogenous retinal detachment (RRD).
METHODS: Retrospectively, 101 eyes of 101 patients who underwent SB surgery were included in the study. Anatomical success or failure was assessed by slit-lamp microscopy fundus examination. Best corrected visual acuity (BCVA) measurements were performed on all patients at baseline and at control visits. Preliminary and posterior segment examinations were performed with slit-lamp biomicroscopy, and intraocular pressure measurements were performed with Goldman applanation tonometry. The general characteristics of the patients and etiological factors were also examined.
RESULTS: The mean age of the patients was 33±16 years. The most common risk factors were idiopathic causes and myopia, each found in 34.7% of eyes, and trauma in 18.8%. The mean length of disease history was 20.2±20 days. There was no correlation between length of disease history and anatomical and functional success. In all, 94% of the eyes were phakic, 5% were pseudophakic and 1% was aphakic. Macular involvement was present in 37 (36.6%) of eyes. While there was a positive correlation between macular involvement and functional success, there was no significant difference in terms of anatomical success. At the final control, anatomical success was achieved in 67 eyes (66.7%) and functional success in 66 eyes (65%). Pars plana vitrectomy surgery was performed as a second operation in 33.3% of the patients. Before the SB operation, the mean BCVA was 1.2±0.9 logMAR (logarithm of the minimum angle of resolution); afterwards, it increased to 0.6±0.5 logMAR (p<0.001).
DISCUSSION AND CONCLUSION: When SB surgery is performed with the appropriate indications in the treatment of RRD, it is an easy method to apply, has a high success rate, a low complication rate, and provides the option for a secondary surgery if it fails.

Keywords: Rhegmatogenous retinal detachment, scleral buckling surgery.


Ahmet Alperen Koc, Gokhan Demir, Okkes Baz, Ali Demircan, Dilek Yasa, Sibel Ahmet, Zeynep Alkin, Muhittin Taskapili. Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment. Beyoglu Eye J. 2017; 2(3): 77-80

Corresponding Author: Ahmet Alperen Koc, Türkiye


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