Anatomic outcome of scleral buckling surgery in primary rhegmatogenous retinal detachment

Afrashi, Filiz; Akkin, Cezmi; Eğrilmez, Sait; Erakgün, Tansu; Menteş, Jale

doi:10.1007/s10792-006-9004-y

Cited by 31 publications

(28 citation statements)

References 18 publications

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“…Anatomic success rates were achieved with an increasing trend from 71.9% in group I to 87.5% in group II and 84.8% in group III, which is comparable to those of earlier studies (78–96%, depending on preoperative selection) [5,6,7,8,9]. This trend is also thought to be associated with surgical experience.…”

Section: Discussionsupporting

confidence: 86%

“…Notably, success rates for cases with multiple breaks increased from 43.8% in group A to 77.5% in group B, which is probably attributable to the acquired experience concerning multiple buckling in cases with multiple breaks. In the present study, success rates for multiple buckling were 33.3% in group A and 66.7% in group B. Afrashi et al [8] reported that multiple breaks were a significant risk factor for anatomic failure mentioning a success rate of 75.0% in the cases with multiple breaks, which corresponded to that of our group B.…”

Section: Discussionsupporting

confidence: 82%

“…Although many studies have reported clinical results for scleral buckling [5,6,7,8], studies dealing with the cases during the beginning period are rare [9]. Moreover, there are no reports evaluating the effect of surgical learning on clinical results.…”

Section: Introductionmentioning

confidence: 99%

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Learning Curve of the Scleral Buckling Operation: Lessons from the First 97 Cases

Sagong¹,

Chang²

2009

Ophthalmologica

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Background/Aims: To provide an insight into the learning curve associated with scleral buckling surgery for an ophthalmologist on a fellowship course and to evaluate risk factors affecting outcomes during this period. Methods: Retrospective data were collected on 97 consecutive scleral buckling procedures (divided into 3 consecutive groups) performed by one surgeon (W.C.) beginning his first fellowship year. We evaluated the anatomic results, operative times and complications, and sought to identify risk factors of anatomic failure. Results: The single-operation success rate was 71.9% (23 of 32 eyes) in the first group, which was lower than 87.5% (28 of 32 eyes) in the second and 84.8% (28 of 33 eyes) in the third. The operative time was 106.3 min in the first, which is longer than 86.5 min in the second and 73.8 min in the third group. Factors predictive of unfavorable anatomic outcome were multiple breaks and multiple buckling procedures in the first 32 cases, and multiple breaks and breaks located posterior to the equator in the latter 65. Conclusion: Surgical experience of approximately 30 cases was required to achieve stable clinical results. Thus, a retinal surgeon at the beginning of his career may increase his success rate by careful case selection avoiding high-risk groups until he reaches the level of experience indicated by the learning curve.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 82%

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Learning Curve of the Scleral Buckling Operation: Lessons from the First 97 Cases

Sagong¹,

Chang²

2009

Ophthalmologica

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“…Despite the fact that anatomical success rates have improved dramatically over the past century, with B90% or more of all RRDs successfully repaired with one or more operations, [1][2][3] postoperative visual acuity (VA) outcomes continue to be unpredictable in many patients.…”

Section: Introductionmentioning

confidence: 99%

Ultra-wide-field autofluorescence imaging in non-traumatic rhegmatogenous retinal detachment

Witmer

Cho

Favarone

et al. 2012

Eye

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Purpose Rhegmatogenous retinal detachment (RRD) affects the function of the retina before and after surgical repair. We investigated ultra-wide-field autofluorescence (UAF) abnormalities in patients with acute RRD to improve our understanding of the functional changes in the retina before and after surgery. Methods In this retrospective study, we present the UAF imaging findings of 16 patients with acute, non-traumatic RRD. Imaging was obtained with the Optos 200 Tx (Optos) in 14 eyes preoperatively and in 12 eyes postoperatively. Twelve eyes had RRDs that involved the macula (group A), whereas four eyes had macula-sparing RRDs (group B). Results All patients (100%) with bullous retinal detachments demonstrated hypofluorescence over the area of retinal detachment. A hyperfluorescent leading edge (HLE) to the retinal detachment was observed preoperatively in 100% of eyes in group A and 75% of eyes in group B. Preoperative UAF through the fovea of group A eyes was normal (30%), hypofluorescent (50%) or hyperfluorescent (20%). In all patients with a HLE preoperatively, the HLE resolved by the 1-month postoperative visit. A residual line of demarcation remained in 8 of the 12 eyes (67%). In group A eyes, postoperative granular autofluorescent changes were present in four of the nine (44%) eyes, and were associated with worse preoperative (P ¼ 0.04) and postoperative (P ¼ 0.09) visual acuity. Conclusion UAF imaging reveals abnormalities in RRDs that allow excellent demarcation of the extent of the retinal detachment and assist in preoperative characterization of the detachment and postoperative counselling.

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“…With current surgical techniques, 90% or more of all retinal detachments can be successfully reattached with one or more operations (Wilkinson 2006), (Ho et al 2002), (Afrashi et al 2005). The two current -and, in some surgeons' opinion, competing -methods of treatment are scleral buckling with the intent to facilitate a reattachment and primary pars plana vitrectomy (PPV).…”

mentioning

confidence: 99%

Outcome of surgery after macula‐off retinal detachment – results from MUSTARD, one of the largest databases on buckling surgery in Europe. Results from a large German case series

Thelen

Amler

Osada

et al. 2012

Acta Ophthalmologica

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Anatomic outcome of scleral buckling surgery in primary rhegmatogenous retinal detachment

Abstract: Grade C(1) PVR and multiple breaks were found to be significant risk factors for anatomic failure in rhegmatogenous RD treated by conventional buckling surgery.

Cited by 31 publications

References 18 publications

Learning Curve of the Scleral Buckling Operation: Lessons from the First 97 Cases

Learning Curve of the Scleral Buckling Operation: Lessons from the First 97 Cases

Ultra-wide-field autofluorescence imaging in non-traumatic rhegmatogenous retinal detachment

Outcome of surgery after macula‐off retinal detachment – results from MUSTARD, one of the largest databases on buckling surgery in Europe. Results from a large German case series

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