Scleral Buckling vs Vitrectomy

Ryan, Edwin H.

doi:10.1001/archophthalmol.2010.192

Cited by 33 publications

(12 citation statements)

References 46 publications

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“…Ryan Jr. and Mittra suggested that the development of PVR and ERM is a disadvantage of PPV for RRD. [19] Of the 91 patients, 3.2% (3/91) of the patients in study underwent a second PPV for repair of either ERM ( n = 2) or MH ( n = 1). Two eyes in this study developed PVR leading to re-detachment.…”

Section: Discussionmentioning

confidence: 99%

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment

Chaturvedi

Basham

Rezaei

2014

Indian J Ophthalmol

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Purpose:To review the characteristics and outcomes of patients who underwent pars plana vitrectomy (PPV) with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% C3F8 gas for rhegmatogenous retinal detachment (RRD).Materials and Methods:A retrospective review of a consecutive series of patients who underwent primary repair of RRD by PPV with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% perfluoropropane (C3F8) was conducted. Patients with less than 3 months follow-up, previous retinal surgery, and higher than grade B proliferative vitreoretinopathy were excluded.Results:Ninety-one eyes were included in the study. The mean age was 60.1 years. The mean follow-up was 13.7 months. The macula was detached in 63% (58/91) of the eyes. The reattachment rate after one surgical procedure was 95% (86/91) while overall reattachment rate was 100%. There was no statistically significant difference between reattachment rates of superior, nasal/temporal, or inferior RRDs. The mean final best corrected visual acuity (BCVA) was 20/40. Of all the patients, 66% of patients with macula-off RRDs had a final BCVA of 20/40 or better.Conclusions:PPV with scleral depressed vitreous shaving, 360 degree peripheral endolaser, and 14% C3F8 leads to successful anatomical reattachment with visual improvement in patients with primary RRD.

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Section: Discussionmentioning

confidence: 99%

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment

Chaturvedi

Basham

Rezaei

2014

Indian J Ophthalmol

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“…[2526] Few studies in the past have tested the suitability of solid silicon materials for SB. To the best of our knowledge, this is the largest surgical series among patients who underwent non-drainage SB surgery using solid silicone elements.…”

Section: Discussionmentioning

confidence: 99%

Non-drainage scleral buckling with solid silicone elements

Rishi

Gupta

et al. 2014

Oman J Ophthalmol

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Background:With the increasing number of cataract surgeries, incidence of posterior segment complications including rhegmatogenous retinal detachment (RRD) is likely to rise. Scleral buckling (SB) surgery is an effective and less expensive option. The primary advantage of non-drainage procedure is avoidance of possible complications associated with trans-choroidal drainage. The aim of present study is to describe the clinical profile of subjects undergoing non-drainage SB surgery with solid silicone elements for RRD and analyze their treatment outcomes.Materials and Methods:This was a retrospective, non-randomized, interventional study at a tertiary care center. Three hundred and six eyes of 298 patients undergoing non-drainage SB surgery with solid silicone elements from year 2000 to 2006 were included. Inclusion criteria were primary RRD, peripheral depressible retinal break, media clarity affording peripheral retinal view and proliferative vitreo-retinopathy (PVR) up to grade C2. Uni- and multivariate analyses was done to analyze factors affecting anatomical and visual outcomes. Statistical analysis was performed using SPSS Version 10.Results:Mean follow-up was 303 ± 393.33 days. Primary anatomical success was obtained in 279 (91.2%) eyes; primary functional success in 286 (93.5%) eyes. PVR (grade B or C), intraocular pressure <10 mm Hg and the inability to find a retinal break were significantly associated with final anatomical failure. Baseline vision ≤3/60 was significantly associated with poor visual recovery.Conclusions:SB surgery is reasonably safe and highly efficacious. Solid silicone elements are effective in non-drainage SB surgery. However, case selection is important.

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“…PPV is recommended for severe PVR, media opacity, or posterior breaks difficult to be covered with SB 64. However, the risk of cataract progression should be considered in a young phakic patient.…”

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 vs Vitrectomy

Cited by 33 publications

References 46 publications

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment

Non-drainage scleral buckling with solid silicone elements

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

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Scleral Buckling vs Vitrectomy

Cited by 33 publications

References 46 publications

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C 3 F 8 ) for retinal detachment

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C 3 F 8 ) for retinal detachment

Non-drainage scleral buckling with solid silicone elements

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

Contact Info

Product

Resources

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Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment

Scleral depressed vitreous shaving, 360 laser, and perfluoropropane (C ₃ F ₈ ) for retinal detachment