Surgical Failures After Primary Scleral Buckling for Rhegmatogenous Retinal Detachment

Patel, Samir N.; Salabati, Mirataollah; Mahmoudzadeh, Raziyeh; Obeid, Anthony; Kuriyan, Ajay E.; Yonekawa, Yoshihiro; Klufas, Michael A.; Hsu, Jason; Khan, Mohammed

doi:10.1097/iae.0000000000003214

Cited by 9 publications

(5 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[16][17][18] The incidence of PVR after primary SB ranges from 3.6% to 29.4%. 6,19,20 Rahat et al 21 found PVR to be the most important predictor of PR failure. In this study, the anatomical success rates for no PVR, PVR Grade A, and PVR Grade B were 64.8%, 54.5%, and 0%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Additional Pneumatic Retinopexy in Patients with Persistent Retinal Detachment After Scleral Buckling

Jung,

Woo,

Joo

et al. 2024

Retina

View full text Add to dashboard Cite

Purpose: To investigate the efficacy, safety, and indications for additional pneumatic retinopexy (PR) in patients with persistent retinal detachment (RD) after scleral buckling (SB). Methods: This retrospective study included patients who underwent additional PR after SB for primary rhegmatogenous RD (n = 78). We defined “inadequate buckle” as RD persistence due to low buckle height despite accurate buckle placement and “buckle misplacement” as an uncovered tear because of incorrect buckle placement. Results: The anatomical success rate after additional PR was 52.6%. Development of proliferative vitreoretinopathy (PVR) grade B (hazard ratio [HR], 5.73; P <0.001) and inferior retinal tears (HR, 2.12; P = 0.040) were significant risk factors for anatomical failure. The most common cause of anatomical failure was PVR (19/37; 51.4%), and epiretinal membrane formation was a common complication after additional PR (22/78; 28.2%). The anatomical success rate with additional PR was significantly higher in the inadequate buckle group than in the misplacement group (8/9 [88.9%] vs. 12/28 [42.9%]; P = 0.023) Conclusion: Development of PVR grade B and inferior retinal tears were significantly associated with anatomical failure after additional PR. Additional PR may benefit patients with superior retinal tears or low buckle height and those without PVR.

show abstract

Section: Discussionmentioning

confidence: 99%

Additional Pneumatic Retinopexy in Patients with Persistent Retinal Detachment After Scleral Buckling

Jung,

Woo,

Joo

et al. 2024

Retina

View full text Add to dashboard Cite

show abstract

“…More speci cally, 2 out of 7 (28.57%) redetachments in Group A and 5 out of 9 (55.56%) redetachments in Group B were due to PVR (p = 0.377). Rates of 16% to 66% have been described for proliferative vitreoretinopathy-related surgical failure after PPV 28,29, and 39% for scleral buckling 30 .…”

Section: Discussionmentioning

confidence: 99%

Retinal detachment without posterior vitreous detachment: Vitrectomy or scleral buckling?

Dimakopoulou,

Mylonas,

Iby

et al. 2024

Preprint

View full text Add to dashboard Cite

Purpose: To compare the effectiveness and safety of scleral buckling and pars plana vitrectomy in treating retinal detachment without posterior vitreous detachment. Methods: A total of 88 eyes of 83 patients with retinal detachment without prior posterior vitreous detachment were investigated retrospectively. Group A comprised patients who underwent scleral buckling (n= 47) and Group B (n= 36) patients who were treated with pars plana vitrectomy. Anatomical success, postoperative visual acuity, and ocular adverse events were evaluated. Results: The primary and final anatomical success rate showed a nonsignificant difference (p = 0.465 and p = 0.37 respectively). No significant difference was observed in the reoperation rate or development of epiretinal membrane between the groups (p = 0.288 and p = 0.254 respectively). However, scleral buckling resulted in significantly better visual acuity at the last follow-up (0.12 ± 0.23) compared to pars plana vitrectomy (0.37 ± 0.46, p = 0.001). The incidence of cataract progression was also significantly higher in the pars plana vitrectomy group (59%) compared to the scleral buckling group (6.1%, p < 0.001). Conclusions: Scleral buckling and pars plana vitrectomy show similar success rates in treating retinal detachment without vitreous detachment. However, due to less cataract progression and better visual acuity outcomes, scleral buckling is recommended for these cases. Determining vitreous status before surgery is crucial for optimal outcomes.

show abstract

“…Subsequently, titles and abstracts and then full texts were subject to screening according to the eligibility criteria. Finally, 22 studies [5,7,11,12,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] of 13,875 subjects were included, published between 1984 and 2023. Fig 1 shows a flow chart of study selection.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Risk factors for proliferative vitreoretinopathy after retinal detachment surgery: A systematic review and meta-analysis

Xiang,

Fan,

Wang

2023

PLoS ONE

View full text Add to dashboard Cite

Background To comprehensively investigate risk factors for proliferative vitreoretinopathy (PVR) after retinal detachment (RD) surgery. Methods PubMed, Embase, Cochrane Library, and Web of Science were systematically searched until May 22, 2023. Risk factors included demographic and disease-related risk factors. Odds ratios (ORs) and weighted mean differences (WMDs) were used as the effect sizes, and shown with 95% confidence intervals (CIs). Sensitivity analysis was conducted. The protocol was registered with PROSPERO (CRD42022378652). Results Twenty-two studies of 13,875 subjects were included in this systematic review and meta-analysis. Increased age was associated with a higher risk of postoperative PVR (pooled WMD = 3.98, 95%CI: 0.21, 7.75, P = 0.038). Smokers had a higher risk of postoperative PVR than non-smokers (pooled OR = 5.07, 95%CI: 2.21–11.61, P<0.001). Presence of preoperative PVR was associated with a greater risk of postoperative PVR (pooled OR = 22.28, 95%CI: 2.54, 195.31, P = 0.005). Presence of vitreous hemorrhage was associated with a greater risk of postoperative PVR (pooled OR = 4.12, 95%CI: 1.62, 10.50, P = 0.003). Individuals with aphakia or pseudophakia had an increased risk of postoperative PVR in contrast to those without (pooled OR = 1.41, 95%CI: 1.02, 1.95, P = 0.040). The risk of postoperative PVR was higher among patients with macula off versus those with macula on (pooled OR = 1.85, 95%CI: 1.24, 2.74, P = 0.002). Extent of RD in patients with postoperative PVR was larger than that in patients without (pooled WMD = 0.31, 95%CI: 0.02, 0.59, P = 0.036). Patients with postoperative PVR had longer duration of RD symptoms than those without (pooled WMD = 10.36, 95%CI: 2.29, 18.43, P = 0.012). Conclusion Age, smoking, preoperative PVR, vitreous hemorrhage, aphakia or pseudophakia, macula off, extent of RD, and duration of RD symptoms were risk factors for postoperative PVR in patients undergoing RD surgery, which may help better identify high-risk patients, and provide timely interventions.

show abstract

Surgical Failures After Primary Scleral Buckling for Rhegmatogenous Retinal Detachment

Cited by 9 publications

References 27 publications

Additional Pneumatic Retinopexy in Patients with Persistent Retinal Detachment After Scleral Buckling

Additional Pneumatic Retinopexy in Patients with Persistent Retinal Detachment After Scleral Buckling

Retinal detachment without posterior vitreous detachment: Vitrectomy or scleral buckling?

Risk factors for proliferative vitreoretinopathy after retinal detachment surgery: A systematic review and meta-analysis

Contact Info

Product

Resources

About