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Related Experiment Videos

Refractive changes after scleral buckling surgery.

W E Smiddy1, D N Loupe, R G Michels

  • 1Vitreoretinal Surgery Service, Johns Hopkins University, Baltimore, Md.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|October 1, 1989
PubMed
Summary
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Scleral buckling surgery for retinal detachment can induce significant myopia and astigmatism. Pneumatic retinopexy may be a preferred alternative to avoid these refractive complications.

Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Retinal detachment requires surgical intervention.
  • Scleral buckling is a common surgical procedure.
  • Induced refractive errors are a potential complication of scleral buckling.

Purpose of the Study:

  • To evaluate refractive changes after scleral buckling surgery.
  • To compare outcomes with alternative treatments like pneumatic retinopexy.

Main Methods:

  • Prospective evaluation of 75 eyes from 69 patients.
  • Measurement of refractive changes post-scleral buckling.

Main Results:

  • Encircling scleral buckles increased axial length by 0.99 mm on average.
  • Average induced myopia was 2.75 diopters.

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  • Induced astigmatism was common but not linked to radial elements.

    • Conclusions:

    • Scleral buckling surgery significantly impacts refractive error, inducing myopia and astigmatism.
    • Pneumatic retinopexy is a viable alternative to mitigate these refractive complications.