#Retina reattachment surgery series#

Postoperative retina reattachment and postoperative visual acuity, the need for further surgical intervention, and intraoperative and postoperative complications were also recorded. Other information included lens status, site of a retinal break, and extent of retinal detachment, the involvement of the fellow eye, macular involvement, presence of lattice degeneration, refractive error association, and history of Nd-YAG posterior capsulotomy before presentation. Information retrieved included the patient's demographics, duration of symptoms, and presenting vision. Case records of all patients that had scleral buckling surgery at our center between 20 were reviewed. Surgeries were done by the same surgeon (RKS). glaucoma, AMD, amblyopia, moderate to severe cataract,… etc.), patient with no breaks identified preoperatively were excluded. coloboma), other acquired ocular conditions that can affect vision (e.g. Patients with complicated RRD (more than stage B PVR, vitreous hemorrhage, giant tears), history of trauma, follow up <1 month, surgeries done outside our hospital, ocular developmental defects (e.g.

M Sahai Eye Hospital and Research center, Jaipur, India, between 20, Patients with simple RRD (with PVR grade b or less), otherwise structurally normal eye, and completed follow-up of at least 1 month were included in the study.

#Retina reattachment surgery series#

This is a retrospective, monocenter interventional case series of all patients who had scleral buckling surgeries done at the Retina Unit of R. The aim of this study is to highlight the anatomical and visual outcomes of scleral buckling surgery in relation to the pattern of presentation of rhegmatogenous RD in the presence of different situations and risk factors. The superiority of scleral buckle in terms of final visual acuity and the occurrence of postoperative cataract in uncomplicated phakic RRDs were showed. Many studies showed the good success rate of short- and long-term anatomical and visual results for scleral buckling surgery, as well as comparative studies, were also done between buckling, vitrectomy, or PR as the primary procedure for retinal detachment. In addition, surgeons nowadays have become more familiar with this technique compared to scleral buckling surgery, as it is the most frequent surgery in their daily practice even for other vitreoretinal pathologies. This is further emphasized by the low rate of intraoperative complications. They support their decision by the high rates of intraoperative reattachment, even in very difficult cases, achieved by internal drainage and tamponade. Nowadays, with the advances of pars plana vitrectomy machines and techniques, lots of vitreoretinal surgeons tend to choose it as the primary procedure even in simple RRDs with the single easily visible break. In 1986 Hilton introduced the technique of pneumatic retinopexy (PR) to treat RRDs with retinal breaks in the superior eight clock hours of the retina. The first invention of vitrectomy and its modification during the 1970s made a big revolution in retinal detachment repair surgery. Using all these techniques, modern scleral buckling procedure has resulted in an improved anatomical success rate, especially when it is performed in fresh retinal detachment. introduced the silicone sponge buckle and modern cryotherapy in 1960. Schepens developed the modern binocular indirect ophthalmoscope with a scleral depressor in 1945, which added a lot to retinal detachment repair surgeries, using that he performed the first buckling surgery in the United States. Building on his theories, Ernst Custodis performed the first scleral buckling surgery in 1949. Jules Gonin performed the first successful retinal detachment surgery after accurate localization of retinal breaks, drainage of SRF and thermocautery in the beginning of the last century. Over the last century, several techniques have been used in the surgical treatment of RRD. The reported incidence rates of RRD vary from around 8–14/100 000 persons per year in different countries. Rhegmatogenous retinal detachment (RRD) occurs when there is a separation of the neurosensory retina from the retinal pigment epithelium (RPE) with the accumulation of subretinal fluid (SRF) in the presence of one or more retinal breaks.