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Scleral buckling: implant versus explant
Lingam Gopal1, Candace M D'Souza, Muna Bhende
1The Vitreo Retinal Services, Sankara Nathralaya, Medical and Vision Research Foundations, Chennai, India. drlg@sankaranethrlaya.org
Retina (Philadelphia, Pa.)
|October 24, 2003
Summary
Scleral buckling surgery is equally effective using either implant or explant techniques. Both methods showed similar outcomes in terms of complications, anatomical results, and visual recovery.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Scleral buckling is a surgical procedure to repair retinal detachments.
- Implant and explant techniques represent different approaches to applying the buckle.
Purpose of the Study:
- To compare the efficacy and outcomes of implant versus explant scleral buckling techniques.
Main Methods:
- A prospective, randomized clinical study was conducted.
- Key variables included buckle size, surgical duration, complications, anatomical and visual outcomes, and buckle height via ultrasonography.
Main Results:
- No significant differences were observed between implant and explant groups for overall surgical duration, complications, anatomical results, visual outcomes, or buckle height.
- The explant group showed a shorter duration to subretinal fluid drainage for 1- to 2-quadrant buckles.
- Ultrasonography revealed comparable buckle height reduction over six months in both groups.
Conclusions:
- Scleral buckling demonstrates similar effectiveness regardless of whether it is performed as an implant or explant procedure.
- Both techniques are viable options for retinal detachment repair.