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Scleral buckling for retinal separation: with and without encirclement
1Department of Ophthalmology, University of Chicago, Pritzker School of Medicine, Illinois.
Annals of Ophthalmology
|March 1, 1988
Summary
Retinal detachment surgery using encircling elements showed no advantage over surgery without them. Both techniques had similar success rates, with proliferative vitreoretinopathy being the main cause of failure in retinal detachment repair.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment is a serious condition requiring surgical intervention.
- The use of encircling elements is a common surgical technique for retinal detachment repair.
Purpose of the Study:
- To compare the surgical success rates of retinal detachment repair with and without encircling elements.
- To evaluate the impact of encircling elements on the incidence of proliferative vitreoretinopathy.
Main Methods:
- A comparative study of two patient populations undergoing surgical repair for rhegmatogenous retinal detachment.
- One group (290 eyes) received surgery with encircling elements, while the other (463 eyes) received surgery without encircling elements.
- Both groups utilized the same surgical technique apart from the inclusion of encircling elements.
Main Results:
- The retinal detachment remained detached in 9% of the eyes in the encircling group compared to 7.6% in the non-encircling group.
- Proliferative vitreoretinopathy was identified as the primary cause of surgical failure in both groups.
- Encirclement did not demonstrate any significant advantage in achieving surgical success for retinal detachment.
Conclusions:
- Surgical encircling elements do not improve the success rate of rhegmatogenous retinal detachment repair.
- Proliferative vitreoretinopathy remains a significant challenge in retinal detachment surgery, irrespective of the use of encircling elements.