Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment

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. Anatomi...

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Main Authors: Ahmet Alperen Koc, Gokhan Demir, Okkes Baz, Ali Demircan, Dilek Yasa, Sibel Ahmet, Zeynep Alkin, Muhittin Taskapili
Format: Article
Language:English
Published: KARE Publishing 2017-12-01
Series:Beyoglu Eye Journal
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-09719
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author Ahmet Alperen Koc
Gokhan Demir
Okkes Baz
Ali Demircan
Dilek Yasa
Sibel Ahmet
Zeynep Alkin
Muhittin Taskapili
author_facet Ahmet Alperen Koc
Gokhan Demir
Okkes Baz
Ali Demircan
Dilek Yasa
Sibel Ahmet
Zeynep Alkin
Muhittin Taskapili
author_sort Ahmet Alperen Koc
collection DOAJ
description 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.[¤]
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spelling doaj.art-488c7105761f4d8fb442e3e9289564552023-02-15T16:09:57ZengKARE PublishingBeyoglu Eye Journal2587-03942017-12-0123778010.14744/bej.2017.09719BEJ-09719Results of Scleral Buckling Surgery in Rhegmatogenous Retinal DetachmentAhmet Alperen Koc0Gokhan Demir1Okkes Baz2Ali Demircan3Dilek Yasa4Sibel Ahmet5Zeynep Alkin6Muhittin Taskapili7University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyINTRODUCTION[|]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.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-09719rhegmatogenous retinal detachmentscleral buckling surgery.
spellingShingle 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 Journal
rhegmatogenous retinal detachment
scleral buckling surgery.
title Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment
title_full Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment
title_fullStr Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment
title_full_unstemmed Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment
title_short Results of Scleral Buckling Surgery in Rhegmatogenous Retinal Detachment
title_sort results of scleral buckling surgery in rhegmatogenous retinal detachment
topic rhegmatogenous retinal detachment
scleral buckling surgery.
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-09719
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