Surgical techniques in retinal detachment: scleral buckling vs circumferential + buckling
The goal of surgery for retinal detachment is to repair the detachment obtaining the best results and the minor complications. In cases where retinal rupture has caused excessive subcutaneous fluid accumulation, scleral buckling/ circumferential techniques or vitre...
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| Format: | Article |
| Language: | English |
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Eleven Senses
2017-09-01
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| Series: | Senses and Sciences |
| Subjects: |
| _version_ | 1818753086943920128 |
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| author | Fernanda Pacella Massimo Castellucci Paolo Turchetti Aloisa Librando Raffaele Migliorini Elena Pacella |
| author_facet | Fernanda Pacella Massimo Castellucci Paolo Turchetti Aloisa Librando Raffaele Migliorini Elena Pacella |
| author_sort | Fernanda Pacella |
| collection | DOAJ |
| description | The goal of surgery for retinal detachment is to repair the detachment obtaining the best results and the minor complications. In cases where retinal rupture has caused excessive subcutaneous fluid accumulation, scleral buckling/ circumferential techniques or vitrectomy are adopted. In most cases, scleral buckling resolves retinal detachment anatomically and functionally within one month The aim of the study is the evaluation of efficacy and postoperative complications in a group of patients with non complicated rhegmatogenous retinal detachment treated with circumferential and buckling techniques, compared to the control group, treated with buckling alone. Fifty-three patients aged between 37 and 82 (mean age: 58.9 years) with rhegmatogenous retinal detachment were recruited from January 2005 to March 2010. Group A patients undergone radial buckling. Patients in group B were subjected to circling with silicone band (circumferential + buckling) application. The safety of the two surgical techniques was evaluated in terms of intra and postoperative complications. The results showed that both techniques are effective in treating rhegmatogenous retinal detachment. The surgery “ab externo” was successful for the treatment of retinal detachment after first intervention in 96% of cases in Group A and 75% of patients in Group B. The best manageability of the circumferential and buckling technique has avoided the development of intraoperative complications. However, the number and type of postoperative complications would indicate that the circumferential + buckling technique should not be adopted unless it is strictly necessary. In light of the data obtained, we can state that both surgical techniques are effective in determining retinal adhesion to the retinal pigment epithelium following rhegmatogenous retinal detachment. However, the use of buckling (minimal episcleral surgery) is safer and guarantees a better outcome on the patient visual acuity, and is therefore preferable to the circumferential + buckling. |
| first_indexed | 2024-12-18T05:01:46Z |
| format | Article |
| id | doaj.art-1a28b337c939481ab22077a886efdcac |
| institution | Directory Open Access Journal |
| issn | 2284-2489 |
| language | English |
| last_indexed | 2024-12-18T05:01:46Z |
| publishDate | 2017-09-01 |
| publisher | Eleven Senses |
| record_format | Article |
| series | Senses and Sciences |
| spelling | doaj.art-1a28b337c939481ab22077a886efdcac2022-12-21T21:20:07ZengEleven SensesSenses and Sciences2284-24892017-09-014310.14616/sands-2017-3-415422Surgical techniques in retinal detachment: scleral buckling vs circumferential + bucklingFernanda Pacella0 Massimo CastellucciPaolo Turchetti1Aloisa LibrandoRaffaele Migliorini Elena PacellaDepartment of Sense Organs, Faculty of Medicine and Dentistry, Sapienza University of Rome, Italy National Institute for Health, Migration and Poverty (INMP/NIHMP), Rome 00153, Italy The goal of surgery for retinal detachment is to repair the detachment obtaining the best results and the minor complications. In cases where retinal rupture has caused excessive subcutaneous fluid accumulation, scleral buckling/ circumferential techniques or vitrectomy are adopted. In most cases, scleral buckling resolves retinal detachment anatomically and functionally within one month The aim of the study is the evaluation of efficacy and postoperative complications in a group of patients with non complicated rhegmatogenous retinal detachment treated with circumferential and buckling techniques, compared to the control group, treated with buckling alone. Fifty-three patients aged between 37 and 82 (mean age: 58.9 years) with rhegmatogenous retinal detachment were recruited from January 2005 to March 2010. Group A patients undergone radial buckling. Patients in group B were subjected to circling with silicone band (circumferential + buckling) application. The safety of the two surgical techniques was evaluated in terms of intra and postoperative complications. The results showed that both techniques are effective in treating rhegmatogenous retinal detachment. The surgery “ab externo” was successful for the treatment of retinal detachment after first intervention in 96% of cases in Group A and 75% of patients in Group B. The best manageability of the circumferential and buckling technique has avoided the development of intraoperative complications. However, the number and type of postoperative complications would indicate that the circumferential + buckling technique should not be adopted unless it is strictly necessary. In light of the data obtained, we can state that both surgical techniques are effective in determining retinal adhesion to the retinal pigment epithelium following rhegmatogenous retinal detachment. However, the use of buckling (minimal episcleral surgery) is safer and guarantees a better outcome on the patient visual acuity, and is therefore preferable to the circumferential + buckling.Retinal detachmentRhegmatogenousBucklingCircumferentialSurgeryComplications |
| spellingShingle | Fernanda Pacella Massimo Castellucci Paolo Turchetti Aloisa Librando Raffaele Migliorini Elena Pacella Surgical techniques in retinal detachment: scleral buckling vs circumferential + buckling Senses and Sciences Retinal detachment Rhegmatogenous Buckling Circumferential Surgery Complications |
| title | Surgical techniques in retinal detachment: scleral buckling vs circumferential + buckling |
| title_full | Surgical techniques in retinal detachment: scleral buckling vs circumferential + buckling |
| title_fullStr | Surgical techniques in retinal detachment: scleral buckling vs circumferential + buckling |
| title_full_unstemmed | Surgical techniques in retinal detachment: scleral buckling vs circumferential + buckling |
| title_short | Surgical techniques in retinal detachment: scleral buckling vs circumferential + buckling |
| title_sort | surgical techniques in retinal detachment scleral buckling vs circumferential buckling |
| topic | Retinal detachment Rhegmatogenous Buckling Circumferential Surgery Complications |
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