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Incidence of redetachment 6 months after scleral buckling surgery.
- Source :
-
Acta Ophthalmologica (1755375X) . Mar2010, Vol. 88 Issue 2, p199-206. 8p. 4 Charts, 1 Graph. - Publication Year :
- 2010
-
Abstract
- Purpose: The preoperative and intraoperative clinical variables associated with redetachment and/or a poor visual outcome following scleral buckling (SB) surgery for rhegmatogenous retinal detachment (RRD) have mainly been studied after a short follow-up. This study aimed to analyse long-term effects by following patients for at least 6 months. Methods: In a retrospective survey we evaluated the data of 436 eyes that underwent SB surgery. Postoperative data were collected at 3-month intervals. Results: After a mean follow-up period of 51 months, anatomic reattachment was achieved in 76% after one SB procedure, with a final reattachment rate of 97% after additional vitreoretinal procedures. In total, 104 eyes developed redetachment during follow-up. After more than 6 and 12 months of follow-up, 32 eyes (7%) and 20 eyes (5%), respectively, developed redetachment. Multivariate regression analysis showed that recurrent redetachment and more than 7 days of visual field loss were significant predictors for a poor postoperative visual outcome at 12 months. A cumulative size of the tear of more than three disc diameters was a significant predictor of recurrent RRD. Conclusion: Conventional SB surgery is a reliable procedure in a selected group of eyes with primary RRD. However, in eyes with a retinal tear with a cumulative size of more than three disc diameters, a primary vitrectomy should be considered. Taking into account that 7% of eyes developed redetachment after 6 months, a longer follow-up period seems necessary to evaluate the anatomical and visual outcomes after SB surgery. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RETINAL detachment
*MULTIVARIATE analysis
*SCLERA surgery
*SURVEYS
*VITRECTOMY
Subjects
Details
- Language :
- English
- ISSN :
- 1755375X
- Volume :
- 88
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Acta Ophthalmologica (1755375X)
- Publication Type :
- Academic Journal
- Accession number :
- 48303821
- Full Text :
- https://doi.org/10.1111/j.1755-3768.2008.01425.x