Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study (SPR study): Risk assessment of anatomical outcome. SPR study report no. 7

Feltgen, Nicolas; Heimann, Heinrich; Hoerauf, Hans; Walter, Peter; Hilgers, Ralf-Dieter; Heussen, Nicole

doi:10.1111/j.1755-3768.2011.02344.x

Cited by 47 publications

(39 citation statements)

References 24 publications

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“…Indeed, subsequent analysis of the SPR data suggested that the presence of a posterior YAG capsulotomy (suggesting a history of, and likely residual media opacity) predicted poorer outcomes for scleral buckling. [7] Endoilluminator-assisted scleral buckling may improve on this limitation.…”

Section: Endoillumination-assisted Scleral Bucklingmentioning

confidence: 99%

Scleral buckling with chandelier illumination

Seider¹,

Nomides²,

Hahn³

et al. 2016

J Ophthalmic Vis Res

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Scleral buckling is a highly successful technique for the repair of rhegmatogenous retinal detachment that requires intra-operative examination of the retina and treatment of retinal breaks via indirect ophthalmoscopy. Data suggest that scleral buckling likely results in improved outcomes for many patients but is declining in popularity, perhaps because of significant advances in vitrectomy instrumentation and visualization systems. Emerging data suggest that chandelier-assisted scleral buckling is safe and has many potential advantages over traditional buckling techniques. By combining traditional scleral buckling with contemporary vitreoretinal visualization techniques, chandelier-assistance may increase the popularity of scleral buckling to treat primary rhegmatogenous retinal detachment for surgeons of the next generation, maintaining buckling as an option for appropriate patients in the future.

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Section: Endoillumination-assisted Scleral Bucklingmentioning

confidence: 99%

Scleral buckling with chandelier illumination

Seider¹,

Nomides²,

Hahn³

et al. 2016

J Ophthalmic Vis Res

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“…• Eye with native lens (phakic), no previous surgery (14-17, 31-33, e54) • Hole clearly discernible, not too large (12,34) • No or only slight PVR reaction (12,16,34) • Good view of site. This is the case in almost half of all patients with retinal detachment (5).…”

Section: Postoperative Periodmentioning

confidence: 99%

Rhegmatogenous Retinal Detachment

Feltgen¹,

Walter²

2014

Deutsches Ärzteblatt International

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101

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“…There have been several clinical trials comparing the two methods 11–16. The scleral buckling vs primary vitrectomy in RRD (SPR) study16 was the largest randomized clinical trial, and it showed that anatomic and functional outcomes of the two methods were comparable.…”

Section: Introductionmentioning

confidence: 99%

Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

Park¹,

Lee²,

Lee³

2018

OPTH

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Although the technique of pars plana vitrectomy (PPV) develops rapidly, scleral buckling (SB) has several advantages over PPV for rhegmatogenous retinal detachment (RRD), including early visual rehabilitation and prevention of cataract progression. It is recommended to select the primary procedure for RRD by considering the advantages and disadvantages of each procedure based on the patient status. The vitreous body status affects the features of RRD. Vitreous liquefaction is an age-dependent process, resulting in the development of posterior vitreous detachment (PVD). RRD is usually associated with PVD, typically presenting with a retinal tear, strong vitreoretinal traction, and bullous detachment. In contrast, RRD may develop without PVD, and typically presents with a small atrophic hole, shallow detachment, and slow progression. RRD with less liquefied vitreous and no PVD can be managed successfully with SB alone even in the presence of subretinal strand as less liquefied vitreous acts as bio-tamponade blocking fluid passage. The strong traction induced by PVD and bullous detachment in an eye with extensively liquefied vitreous reduces the success rate of SB. PPV is gaining popularity as the primary procedure for RRD, especially in eyes with retinal tears, PVD, or pseudophakia. Nevertheless, SB remains the preferred procedure in young phakic patients without PVD.

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Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study (SPR study): Risk assessment of anatomical outcome. SPR study report no. 7

Cited by 47 publications

References 24 publications

Scleral buckling with chandelier illumination

Scleral buckling with chandelier illumination

Rhegmatogenous Retinal Detachment

Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

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