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Scleral Buckle Removal: Long-Term Patient Outcomes
Palak Patel1, Jae Young Heo1, Emily Anne Shepherd2
1Department of Ophthalmology, Rush University Medical Center, Chicago, Illinois.
Ophthalmology. Retina
|August 2, 2023
Summary
Scleral buckle removal effectively resolves symptoms in most patients, with a low risk of redetachment. Close monitoring is recommended post-removal to detect any recurrent retinal detachments.
Area of Science:
- Ophthalmology
- Retina Surgery
Background:
- Scleral buckling (SB) is a common treatment for primary rhegmatogenous retinal detachments.
- SB removal is sometimes necessary, but long-term outcomes, particularly the risk of redetachment, require further investigation.
Purpose of the Study:
- To evaluate the clinical indications for and outcomes of scleral buckle removal.
- To assess the rate of redetachment and need for further ocular surgery after SB removal.
Main Methods:
- Retrospective, observational study of 86 patients undergoing SB removal between 2000 and 2021.
- Data included indications for removal, symptom resolution, redetachment rates, and subsequent surgeries.
Main Results:
- The leading reasons for SB removal were exposure (61.63%), infection (20.93%), and diplopia/strabismus (19.77%).
- Symptom resolution was achieved in 86.59% of patients post-removal.
- A low rate of redetachment (6.56%) was observed, with 9% requiring additional strabismus or oculoplastic surgery.
Conclusions:
- Scleral buckle removal offers significant symptomatic relief with a low risk of retinal redetachment.
- Close follow-up is essential to monitor for potential recurrent retinal detachments after SB removal.
