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Sutureless scleral buckle in the management of rhegmatogenous retinal detachment
P Mahesh Shanmugam1, Tajinder Pal Singh, Rajesh Ramanjulu
1Department of Vitreoretinal Services and Ocular Oncology, Sankara Eye Hospital, Bengaluru, Karnataka, India.
Purpose:
To evaluate the anatomical and functional outcomes of sutureless scleral buckling for the repair of rhegmatogenous retinal detachment (RD).
Design:
Retrospective interventional case series.
Materials And Methods:
Retrospective analysis of 50 eyes of 49 patients with rhegmatogenous RD, who underwent sutureless scleral buckling from January 2009 to March 2013.
Results:
Primary retinal re-attachment rate of 86% was achieved with single surgery, but final anatomical success was 94% with additional interventions in the form of intravitreal gas, buckle revision, and/or pars plana vitrectomy. Best corrected logarithm of minimum angle of resolution visual acuity improved from 1.44 ± 1.01 preoperatively to 0.50 ± 0.40 at a mean follow-up of 6.7 months.XS Conclusion: Sutureless scleral buckling achieves excellent anatomical and functional success in majority of the patients with rhegmatogenous RD.
