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[Is scleral buckling still current?]
1Klinik für Augenheilkunde, Medizinischen Universität Lübeck.
Summary
German-speaking surgeons favor conventional buckling for simple retinal detachments. For complex cases, primary vitrectomy is increasingly preferred over traditional scleral buckling procedures.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment is a significant cause of vision loss.
- Surgical techniques for retinal detachment have evolved, with increasing interest in minimally invasive options.
Purpose of the Study:
- To survey German-speaking vitreo-retinal surgeons regarding their preferred surgical techniques for simple and complicated rhegmatogenous retinal detachments.
- To identify the key factors influencing surgical approach selection.
Main Methods:
- A survey was conducted among German-speaking vitreo-retinal surgeons.
- The survey assessed preferred surgical techniques and decision-making factors for different retinal detachment scenarios.
Main Results:
- Conventional buckling surgery is the preferred method for simple retinal detachments.
- Minimally invasive techniques (balloon operation, pneumatic retinopexy) are used by less than 5% of surgeons.
- For complicated detachments, a trend towards primary vitrectomy is evident, with 45% preferring it over scleral buckling (55%) in difficult but treatable cases.
Conclusions:
- Surgical preferences for rhegmatogenous retinal detachment vary based on complexity.
- Conventional buckling remains dominant for simple cases, while vitrectomy gains traction for complicated detachments.