Skip to main content

Advertisement

SpringerLink
Log in

Anatomic outcome of scleral buckling surgery in primary rhegmatogenous retinal detachment

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To evaluate the factors affecting the anatomic success of treatment of retinal detachments (RD) by scleral buckling surgery.

Methods

One-hundred and two eyes of 102 patients with rhegmatogenous RD operated on by scleral buckling surgery were included in the study. Results were analyzed according to the anatomic status of the retina at the most recent follow-up examination. The chi-squared test was used to determine the relationship between preoperative and intraoperative variables and anatomic results, and the relative risk of failure was determined for each variable.

Results

Retinal reattachment was achieved in 85 of 102 eyes (82.5%) after initial surgery. The success rate for anatomic reattachment was 95% after two operations. After three operations reattachment was achieved for 98 eyes (96%). Predictive factors for anatomic failure (P<0.05) were the presence of grade C1 PVR and multiple breaks.

Conclusion

Grade C1 PVR and multiple breaks were found to be significant risk factors for anatomic failure in rhegmatogenous RD treated by conventional buckling surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. American Academy of Ophthalmology (1996) The repair of rhegmatogenous retinal detachments. Ophthalmology 103:1313–1324

    Google Scholar 

  2. Michels RG, Wilkinson C, Rice TA (1990) Results of retinal reattachment surgery. In: Klein EA (ed.) Retinal detachment. St. Louise. The C.V. Mosby Company, 917–958

  3. Committee on Ophthalmic Procedure of the American Academy of Ophthalmology (1996) The repair of rhegmatogenous retinal detachments. Ophthalmology 103:1313–1324

    Google Scholar 

  4. La Heij EC, Derhaag PF, Hendrikse F (2000) Results of scleral buckling operations in primary rhegmatogenous retinal detachment. Doc Ophthalmol 100:17–25

    Article  PubMed  CAS  Google Scholar 

  5. Ranta P, Kivela T (2002) Functional and anatomic outcome of retinal detachment surgery in pseudophakic eyes. Ophthalmology 109:1432–1440

    Article  PubMed  Google Scholar 

  6. Sharma T, Challa JK, Ravishankar KV, Murugesan R (1994) Scleral buckling for retinal detachment. Predictors for anatomic failure. Retina 4:338–343

    Google Scholar 

  7. La Heij EC, Derhaag PF, Hendrikse F (2000) Results of scleral buckling operations in primary rhegmatogenous retinal detachment. Doc Ophthalmol 100:17–25

    Article  PubMed  CAS  Google Scholar 

  8. Ahmadieh H, Entezari M, Soheilian M, Azarmina M, Dehghan MH, Mashayekhi A, Sajjadi H (2000) Factors influencing anatomic and visual results in primary scleral buckling. Eur J Ophthalmol 10:153–159

    PubMed  CAS  Google Scholar 

  9. Halberstadt M, Brandenburg L, Sans N, Koerner-Stiefbold U, Koerner F, Garweg JG (2003) Analysis of risk factors for the outcome of primary retinal reattachment surgery in phakic and pseudophakic eyes. Klin Monatsbl Augenheilkd 220:116–121

    Article  PubMed  Google Scholar 

  10. Framme C, Roider J, Hoerauf H, Laqua H (2000) Complications after external retinal surgery in pseudophakic retinal detachment–are scleral buckling operations still current? Klin Monatsbl Augenheilkd 216:25–32

    Article  PubMed  CAS  Google Scholar 

  11. Grizzard WS, Hilton GF, Hammer ME, Taren D (1994) A multivariate analysis of anatomic success of retinal detachments treated with scleral buckling. Graefes Arch Clin Exp Ophthalmol 232:1–7

    Article  PubMed  CAS  Google Scholar 

  12. Ho CL, Chen KJ, See LC (2002) Selection of scleral buckling for primary retinal detachment. Ophthalmologica 216:33–39

    Article  PubMed  Google Scholar 

  13. Pastor JC (1998) Proliferative vitreoretinopathy: an overview. Surv Ophthalmol 43:3–18

    Article  PubMed  CAS  Google Scholar 

  14. Grizzard WS, Hilton GF (1982) Scleral buckling for retinal detachments complicated by periretinal proliferation. Arch Ophthalmol 100:419–422

    PubMed  CAS  Google Scholar 

  15. Yoshida A, Ho PC, Schepens CL, McMeel JW, Duncon JE (1984) Severe proliferative vitreoretinopathy and retinal detachment. II. Surgical results with scleral buckling. Ophthalmology 91:1538–1543

    PubMed  CAS  Google Scholar 

  16. de Bustros S, Michels RG (1984) Surgical treatment of retinal detachments complicated by proliferative vitreoretinopathy. Arch Ophthalmol 98:694–699

    Google Scholar 

  17. Jalkh AE, Avila MP, Schepens CL, Azzolini C, Duncan JE, Trempe CL (1984) Surgical treatments of proliferative vitreoretinopathy. Arch Ophthalmol 102:1135–1139

    PubMed  CAS  Google Scholar 

  18. Ho PC, McMeel JW (1985) Retinal detachment with proliferative vitreoretinopathy: surgical results with scleral buckling, closed vitrectomy, and intravitreous air injection. Br J Ophthalmol 69:584–587

    PubMed  CAS  Google Scholar 

  19. Abu El-Asrar AM, Al-Bishi SM, Kangave D (2003) Outcome of temporary silicone oil tamponade in complex rhegmatogenous retinal detachment. Eur J Ophthalmol 13:474–481

    PubMed  CAS  Google Scholar 

  20. Miki D, Hida T, Hotta K, Shinoda K, Hirakata A (2001) Comparison of scleral buckling and vitrectomy for retinal detachment resulting from flap tears in superior quadrants. Jpn J Ophthalmol 45:187–191

    Article  PubMed  CAS  Google Scholar 

  21. Afrashi F, Erakgun T, Akkin C, Kaskaloglu M, Mentes J (2004) Conventional buckling surgery or primary vitrectomy with silicone oil tamponade in rhegmatogenous retinal detachment with multiple breaks. Graefes Arch Clin Exp Ophthalmol 242:295–300

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, School of Medicine, Ege University, Bornova-Izmir, 35100, Turkey

    F. Afrashi, C. Akkin, S. Egrilmez, T. Erakgun & J. Mentes

  2. Department of Ophthalmology, Ege University Hospital, Bornova-Izmir, 35100, Turkey

    F. Afrashi

Authors
  1. F. Afrashi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C. Akkin
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Egrilmez
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Erakgun
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. Mentes
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to F. Afrashi.

Additional information

The authors have no financial or proprietary interest in the products mentioned in the text

Rights and permissions

Reprints and permissions

About this article

Cite this article

Afrashi, F., Akkin, C., Egrilmez, S. et al. Anatomic outcome of scleral buckling surgery in primary rhegmatogenous retinal detachment. Int Ophthalmol 26, 77–81 (2005). https://doi.org/10.1007/s10792-006-9004-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-006-9004-y

Keywords

Search

Navigation