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Scleral buckling surgery using multiple radial buckles: A valid option?

Aditya Sudhalkar1, Anand Sudhalkar1

  • 1Eye Hospital and Retinal Centre, Baroda, Gujarat, India.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society
|July 9, 2015
PubMed
Summary

Radial buckling surgery with multiple segments is a safe and effective treatment for rhegmatogenous retinal detachment (RRD). This procedure offers a valid alternative to vitrectomy for RRD with complex retinal breaks.

Keywords:
Radial buckleRhegmatogenous retinal detachmentScleral buckling

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Surgical Techniques

Background:

  • Rhegmatogenous retinal detachment (RRD) poses a significant risk to vision.
  • Traditional surgical interventions for RRD include vitrectomy and scleral buckling.
  • The efficacy of radial buckling with multiple segments requires ongoing evaluation.

Purpose of the Study:

  • To assess the viability of radial buckling surgery using two or more radial buckles as a treatment for RRD.
  • To evaluate the safety and effectiveness of this surgical approach in the current clinical landscape.

Main Methods:

  • A retrospective chart review was conducted.
  • Patients with RRD and multiple breaks, with or without proliferative vitreoretinopathy, were included.
  • Data on visual acuity, surgical outcomes, and complications were analyzed.

Main Results:

  • 25 patients with RRD underwent radial buckling surgery.
  • A significant improvement in corrected distance visual acuity (CDVA) was observed.
  • The procedure demonstrated a high rate of retinal reattachment with minimal complications.

Conclusions:

  • Radial buckling surgery using two or more segments is a safe and effective treatment for RRD.
  • It represents a valid alternative to vitrectomy for RRD cases with multiple breaks.
  • This technique offers a favorable outcome for patients with complex retinal detachments.