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Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate
Published on: September 11, 2013
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CLINICAL FEATURES AND SURGICAL OUTCOMES OF SCLERAL BUCKLE SURGERY FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT:
Mahiul M K Muqit1,2, Carmelo Macri3, Weng Onn Chan1,3
1Vitreoretinal Service, Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.
Retina (Philadelphia, Pa.)
|March 4, 2024
Summary
Scleral buckle surgery shows favorable visual and functional outcomes for primary rhegmatogenous retinal detachment (RRD), particularly for round hole and dialysis RRD types. Success rates were high, with significant visual acuity improvement post-surgery.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Surgical Outcomes
Background:
- Rhegmatogenous retinal detachment (RRD) is a sight-threatening condition requiring timely surgical intervention.
- Scleral buckle (SB) surgery is a common surgical approach for primary RRD.
Purpose of the Study:
- To evaluate the long-term clinical and surgical outcomes of scleral buckle (SB) surgery for primary rhegmatogenous retinal detachment (RRD).
Main Methods:
- A retrospective case series of 589 eyes from 569 patients with primary RRD undergoing SB surgery.
- Data collected between 2004 and 2022 with a median follow-up of 6 months.
- Outcomes assessed included best-corrected visual acuity (BCVA), surgical success rates, and complications.
Main Results:
- The overall primary SB success rate was 83.7%, with 84.8% for round hole RRD and 81.2% for retinal dialysis RRD.
- Mean BCVA improved significantly from 0.42 to 0.26 logMAR (P < 0.0001).
- Factors associated with reduced primary success included registrar surgeon grade and partial/complete posterior vitreous detachment.
Conclusions:
- Scleral buckle surgery provides favorable visual and functional outcomes for primary RRD, especially for round hole and retinal dialysis types.
- Surgical experience and specific clinical factors influence the success rates of SB surgery.
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