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Scleral Buckle Removal: Indications, Timing, Complications, and Long-Term Outcomes
Ophthalmic Surgery, Lasers & Imaging Retina
|May 26, 2021
Summary
Scleral buckle removal is often necessary for exposed implants, infection, or double vision. This surgery has a high success rate with a low risk of complications, preserving visual acuity.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Scleral buckling (SB) is a common surgical procedure for retinal detachment.
- Complications or persistent symptoms may necessitate SB removal.
Purpose of the Study:
- To detail the reasons for scleral buckle removal.
- To analyze the timing, complications, and visual outcomes following SB removal surgery.
Main Methods:
- Retrospective observational case series.
- Included eyes undergoing SB removal between 2010-2016 with >1 year follow-up.
- Assessed post-removal complications and best-corrected visual acuity (BCVA).
Main Results:
- Fifty eyes met inclusion criteria.
- Common indications for removal: exposed SB (54%), infection (26%), diplopia (16%).
- Low complication rate (12% recurrent RD, 6% ocular hypertension, 4% persistent diplopia); no significant BCVA change (P=.979).
Conclusions:
- Exposed SB, infection, and diplopia are primary indications for removal.
- Scleral buckle removal demonstrates a high single-surgery success rate.
- The procedure carries a relatively low risk of complications.
