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Visual acuity after scleral buckling surgery

P Girard1, I Karpouzas

  • 1Fondation Ophtalmologique Rothschild, Paris, France.

Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
|January 1, 1995
PubMed
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This study on retinal detachment treated with scleral buckling found that 69.4% achieved good vision. Age, preoperative vision, macular detachment duration, and proliferative vitreoretinopathy predicted poorer visual outcomes.

Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Visual Outcomes

Background:

  • Retinal detachment (RD) is a serious condition requiring surgical intervention.
  • Scleral buckling is a common surgical technique for RD repair.
  • Predicting visual recovery after RD surgery is crucial for patient management.

Purpose of the Study:

  • To identify factors associated with suboptimal final visual acuity (VA) after successful scleral buckling for retinal detachment.
  • To analyze the impact of preoperative and intraoperative variables on visual outcomes.

Main Methods:

  • Retrospective review of 745 cases of retinal detachment treated with scleral buckling.
  • Analysis of final visual acuity (VA) and identification of causes for VA below 0.5.
  • Stepwise logistic regression to determine predictors of visual failure.

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Main Results:

  • Final VA of 0.5 or better was achieved in 69.4% of cases.
  • Major causes of poor VA included photoreceptor dysfunction, macular pucker, cystoid macular edema, and hemorrhage.
  • Five variables significantly predicted visual failure: age ≥71, poor preoperative VA, prolonged macular detachment (>7 days), proliferative vitreoretinopathy (PVR) Grade B, and intraoperative hemorrhage.

Conclusions:

  • Scleral buckling can achieve good visual outcomes in a majority of retinal detachment cases.
  • Several patient-specific and disease-related factors negatively impact visual prognosis.
  • Identifying these predictors can aid in patient counseling and surgical planning for retinal detachment.