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Risk factors for scleral buckle removal: a matched, case-control study
Douglas J Covert1, William J Wirostko, Dennis P Han
1Retina Service of the Eye Institute, Medical College of Wisconsin, 925 North 87th Street, Milwaukee, WI 53226, USA.
American Journal of Ophthalmology
|July 11, 2008
Summary
Scleral buckle removal is linked to globe-penetrating injuries, pars plana vitrectomy, diabetes mellitus, and prior ocular therapies. Awareness of these factors aids surgical planning for retinal detachment repair.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Surgical Outcomes
Context:
- Scleral buckle (SB) implantation is a common surgical procedure for retinal detachment.
- SB removal may be necessary due to complications or treatment failure.
- Identifying risk factors for SB removal is crucial for patient management.
Purpose:
- To identify preoperative, perioperative, and postoperative risk factors associated with scleral buckle removal.
- To analyze factors influencing the need for subsequent scleral buckle removal after initial implantation.
Summary:
- A retrospective case-control study analyzed 40 scleral buckle removals against 148 controls.
- Significant risk factors for SB removal included concurrent globe-penetrating injury, pars plana vitrectomy, diabetes mellitus, and prior ocular therapy.
- Patient age, gender, and buckle characteristics were not associated with removal risk.
Impact:
- Findings can inform surgical planning for retinal detachment repair, optimizing patient selection and risk stratification.
- Understanding these risk factors may help reduce the incidence of scleral buckle removal.
- This research contributes to improving outcomes for patients undergoing retinal detachment surgery.
