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Buckle removal in retinal detachment surgery: a consecutive case series.
- Source :
-
Acta bio-medica : Atenei Parmensis [Acta Biomed] 2008 Aug; Vol. 79 (2), pp. 128-32. - Publication Year :
- 2008
-
Abstract
- Purpose: To evaluate the outcome after buckle removal in a consecutive series of treated detachments.<br />Methods: Segmental and/or encircling buckles were removed in 46 consecutive patients operated upon for rhegmatogenous retinal detachment, showing buckle extrusion, recurrent pain, and diplopia. Patients underwent a preoperative retinal examination, and a six- months postoperative follow-up.<br />Results: Cryopexy of retinal breaks was performed in all 46 patients during the primary surgery. At the time of buckle removal none of the patients underwent argon-laser treatment. The removed buckling material was made of MIRAGEL in 32 cases (74%), silicone sponge in 7 (17%), and silicone band in 4 (9%). The time between the first surgery and buckle removal ranged from 1 to 17 years (8 +/- 7.5, M +/- SD). Neither postoperative complications, nor recurrences of retinal detachment developed. Best corrected visual acuity remained unchanged during the follow-up. Diplopia resolved in all 4 eyes after buckle removal with no need for a strabismus operation, prismatic lenses were required in one case only.<br />Conclusions: Although the absence of a control group, the adequately applied retinopexy during primary surgery could probably prevent the recurrence of retinal detachment.
Details
- Language :
- English
- ISSN :
- 0392-4203
- Volume :
- 79
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Acta bio-medica : Atenei Parmensis
- Publication Type :
- Academic Journal
- Accession number :
- 18788508