Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling

AIM:To investigate the clinical efficacy of minimally invasive foldable capsular buckle(FCB)scleral buckling in treating rhegmatogenous retinal detachment(RRD).METHOD: This retrospective study enrolled 11 patients(11 eyes)with RRD treated with minimally invasive FCB scleral buckling at the Hainan Tr...

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Main Authors: Sun Xuyang, Chen Taixiang, Li Rui, Sun Wen, Dong Fangtian
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2024-02-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2024/2/202402019.pdf
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author Sun Xuyang
Chen Taixiang
Li Rui
Sun Wen
Dong Fangtian
author_facet Sun Xuyang
Chen Taixiang
Li Rui
Sun Wen
Dong Fangtian
author_sort Sun Xuyang
collection DOAJ
description AIM:To investigate the clinical efficacy of minimally invasive foldable capsular buckle(FCB)scleral buckling in treating rhegmatogenous retinal detachment(RRD).METHOD: This retrospective study enrolled 11 patients(11 eyes)with RRD treated with minimally invasive FCB scleral buckling at the Hainan Traditional Chinese Medicine Hospital from May to July 2023. The surgeries were performed without subconjunctival anesthesia, extraocular muscle pulling, intraocular positioning, retinal cryotherapy or drainage of subretinal fluid, or FCB suture fixation. Furthermore, the best corrected visual acuity(BCVA), intraocular pressure and complications were observed.RESULTS: Minimally invasive FCB scleral buckling was performed on 11 eyes, with successful retinal reattachment in 10 eyes(91%), and the remaining 1 eye(9%)had postoperative retinal re-detachment and underwent vitrectomy with silicone oil filling for multiple retinal tears. One-time successful surgery was in 4 eyes(40%), gas injection in vitreous body after the surgery was performed in 1 eye(10%), FCB position adjustment after the surgery was performed in 3 eyes(30%), gas injection in vitreous body and FCB position adjustment after the surgery were performed in 2 eyes(20%); and FCB was removed 4-12 wk after the surgery in 5 eyes(50%), without retinal redetachment. The average BCVA(LogMAR)of the 10 eyes improved from 1.30±1.10 before surgery to 0.37±0.39 at 4 wk after surgery(P<0.01); the average preoperative intraocular pressure was 11.51±3.37 mmHg and 13.72±2.57 mmHg at 4wk after surgery(P>0.05). No serious complications occurred.CONCLUSION:Minimally invasive FCB scleral buckling effectively treats RRD with minimal injury, simple operation, time-saving, and fewer complications.
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spelling doaj.art-36e0fc7150104b6aab98052456fa3ac72024-01-18T03:35:38ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232024-02-0124227728310.3980/j.issn.1672-5123.2024.2.19202402019Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral bucklingSun Xuyang0Chen Taixiang1Li Rui2Sun Wen3Dong Fangtian4Department of Ophthalmology, Hainan Traditional Chinese Medicine Hospital, Haikou 570203, Hainan Province, ChinaDepartment of Ophthalmology, Hainan Traditional Chinese Medicine Hospital, Haikou 570203, Hainan Province, ChinaDepartment of Ophthalmology, Hainan Traditional Chinese Medicine Hospital, Haikou 570203, Hainan Province, ChinaDepartment of Ophthalmology, Hainan Traditional Chinese Medicine Hospital, Haikou 570203, Hainan Province, ChinaDepartment of Ophthalmology, Hainan Traditional Chinese Medicine Hospital, Haikou 570203, Hainan Province, China; Departmentof Ophthalmology, Peking Union Medical College Hospital, Beijing 100730, ChinaAIM:To investigate the clinical efficacy of minimally invasive foldable capsular buckle(FCB)scleral buckling in treating rhegmatogenous retinal detachment(RRD).METHOD: This retrospective study enrolled 11 patients(11 eyes)with RRD treated with minimally invasive FCB scleral buckling at the Hainan Traditional Chinese Medicine Hospital from May to July 2023. The surgeries were performed without subconjunctival anesthesia, extraocular muscle pulling, intraocular positioning, retinal cryotherapy or drainage of subretinal fluid, or FCB suture fixation. Furthermore, the best corrected visual acuity(BCVA), intraocular pressure and complications were observed.RESULTS: Minimally invasive FCB scleral buckling was performed on 11 eyes, with successful retinal reattachment in 10 eyes(91%), and the remaining 1 eye(9%)had postoperative retinal re-detachment and underwent vitrectomy with silicone oil filling for multiple retinal tears. One-time successful surgery was in 4 eyes(40%), gas injection in vitreous body after the surgery was performed in 1 eye(10%), FCB position adjustment after the surgery was performed in 3 eyes(30%), gas injection in vitreous body and FCB position adjustment after the surgery were performed in 2 eyes(20%); and FCB was removed 4-12 wk after the surgery in 5 eyes(50%), without retinal redetachment. The average BCVA(LogMAR)of the 10 eyes improved from 1.30±1.10 before surgery to 0.37±0.39 at 4 wk after surgery(P<0.01); the average preoperative intraocular pressure was 11.51±3.37 mmHg and 13.72±2.57 mmHg at 4wk after surgery(P>0.05). No serious complications occurred.CONCLUSION:Minimally invasive FCB scleral buckling effectively treats RRD with minimal injury, simple operation, time-saving, and fewer complications.http://ies.ijo.cn/cn_publish/2024/2/202402019.pdffoldable capsular bucklerhegmatogenous retinal detachmentscleral bucklingminimally invasive
spellingShingle Sun Xuyang
Chen Taixiang
Li Rui
Sun Wen
Dong Fangtian
Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling
Guoji Yanke Zazhi
foldable capsular buckle
rhegmatogenous retinal detachment
scleral buckling
minimally invasive
title Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling
title_full Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling
title_fullStr Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling
title_full_unstemmed Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling
title_short Clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling
title_sort clinical study of rhegmatogenous retinal detachment treatment with minimally invasive foldable capsular buckle scleral buckling
topic foldable capsular buckle
rhegmatogenous retinal detachment
scleral buckling
minimally invasive
url http://ies.ijo.cn/cn_publish/2024/2/202402019.pdf
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AT lirui clinicalstudyofrhegmatogenousretinaldetachmenttreatmentwithminimallyinvasivefoldablecapsularbucklescleralbuckling
AT sunwen clinicalstudyofrhegmatogenousretinaldetachmenttreatmentwithminimallyinvasivefoldablecapsularbucklescleralbuckling
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