Anatomic and Visual Outcomes of Scleral Buckling versus Primary Vitrectomy in Pseudophakic and Aphakic Retinal Detachment

Ahmadieh, Hamid; Moradian, Siamak; Faghihi, Hooshang; Parvaresh, Mohammad Mehdi; Ghanbari, Heshmatollah; Mehryar, M; Heidari, Ebadollah; Behboudi, Hassan; Banaee, Touka; Golestan, B

doi:10.1016/j.ophtha.2005.02.018

Cited by 184 publications

(105 citation statements)

References 33 publications

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“…Most studies have reported comparable anatomical and visual outcomes in patients with uncomplicated RRD treated by vitrectomy or scleral buckling. [1][2][3][4][5] In patients with complex RRD, however, pars plan vitrectomy with or without scleral buckling surgery has been associated with significantly higher success rate compared with scleral buckling alone. 6 Proliferative vitreoretinopathy (PVR) is a wound healing process characterized by migration and proliferation of resident ocular cells including retinal pigment epithelial cells and invading immune cells leading to formation of adherent membranes over and under the retina.…”

Section: Introductionmentioning

confidence: 99%

Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

Falavarjani

Alemzadeh

Modarres

et al. 2015

Eye

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Section: Introductionmentioning

confidence: 99%

Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

Falavarjani

Alemzadeh

Modarres

et al. 2015

Eye

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“…This technique is still preferred by many surgeons, whereas others prefer to treat uncomplicated cases with primary pars plana vitrectomy, especially in pseudophakic or aphakic eyes. 1 After scleral-buckling procedure, visual recovery is related to the pre-operative and post-operative macular condition. A poor functional outcome is common because of post-operative complications, such as persistent subfoveal fluid, even in a pre-operatively uninvolved macula, 2 epiretinal membranes, and cystoid macular oedema.…”

Section: Introductionmentioning

confidence: 99%

Long-term follow-up with optical coherence tomography and microperimetry in eyes with metamorphopsia after macula-off retinal detachment repair

Rossetti

Doro

Manfre

et al. 2010

Eye

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Purpose To report the long-term sequential morphological and functional results in eyes with metamorphopsia after retinal detachment (RD) repair. Patients and methods In six eyes of six patients aged 58.7±11.0 years with metamorphopsia after successful buckling surgery for macula-off RD, best-corrected visual acuity (BCVA), fundus biomicroscopy, Amsler grid test, time-domain optical coherence tomography (TD-OCT) and central 121 microperimetry (MP-1) were performed at months 1, 3, 6, 12, and 18. At 5 to 6 years after surgery all patients underwent also spectral domain (SD)-OCT. Results Three eyes slowly recovered pre-RD BCVA. In the remaining three eyesFwith good final BCVAFthe interrupted junction line between photoreceptor cell inner and outer segments (IS/OS) was progressively less evident after RD surgery; and the external limiting membrane was preserved on SD-OCT examination. In all eyes post-operative metamorphopsia faded with time, but fully disappeared in 6 years only in two eyes without photoreceptor abnormalities. One of the two eyes with subretinal fluid up to 6 months and IS/OS disruption had central dense scotoma with relatively unstable fixation on MP-1 and persistent metamorphopsia. Macular sensitivity (MS) increased from 9.7 ± 7.1 at month 1 to 13.5 ± 5.6 dB at the final check, and was weakly (r ¼ 0.33) correlated with post-operative BCVA and OCT abnormalities. Conclusion Long-standing metamorphopsia can occur after successful macula-off RD repair even without detectable photoreceptor disruption on OCT. Post-operative BCVA recovery weakly correlates with increasing MS, and late restoration of the photoreceptor layer may be observed

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“…Significant variation in reported primary RD failure exists. [10][11][12][13][14][15][16][17][18][19] This range may be due to variations in patient selection including surgical complexity, the definition of primary RD failure, the timeframe for reporting failure, and the inclusion or exclusion of cases with silicone oil in situ. A recent nationwide database study from Denmark found a 22% re-operation rate after RD surgery, using a large subset of 6,522 eyes of which 29.5% received silicone oil injection.…”

Section: Failure Rate By Technique Of Surgerymentioning

confidence: 99%

“…The Royal College of Ophthalmologists has recommended primary RD success rate as one of the benchmark indicators for fitness to practise vitreoretinal surgery, although to date no acceptable boundaries for case mix adjusted RD success rates have been defined. 9 Several studies have documented the success rate of primary RD surgery [10][11][12][13][14][15][16][17][18][19][20] but few have analysed inter-surgeon variation and those that did included only experienced surgeons 16 or a few centres reporting only one technique: PPV. [17][18][19] The UK National Health Service (NHS) provides an ideal environment for "real-world" studies of vitreoretinal surgery outcomes.…”

Section: Introductionmentioning

confidence: 99%

Royal College of Ophthalmologists' National Database Study of Vitreoretinal Surgery

Sallam

Donachie

Yorston

et al. 2018

Retina

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PRECISA database study of 5,857 primary retinal detachment operations found no difference in failure rate between surgeon grades. 1,3 , David Yorston FRCOphth 3,4 , David HW Steel FRCOphth 3,5,6 , Tom H Williamson MD FRCOphth 3,7 , Timothy L Jackson PhD, FRCOphth 8 , John M Sparrow DPhil FRCOphth 3,9 The RD re-operation rate at 6 months after primary surgery was 13.9% (725/5,202), and did not differ significantly between consultants and trainees (p = 0.382). For surgeons contributing ≥50 cases, the mean (range) reoperation rates were 13.1% (6.7% -26.8%), 15.1% (11.3% -18.2%) and 15.3% (9.4% -22.1%) for consultant, independent non-consultant and trainee surgeons, respectively. The SB failure rate was not significantly different from PPV (p =0.095). Conclusion:The grade of surgeons and the technique of surgery were not associated with a significant difference in primary RD failure rates.3

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Anatomic and Visual Outcomes of Scleral Buckling versus Primary Vitrectomy in Pseudophakic and Aphakic Retinal Detachment

Cited by 184 publications

References 33 publications

Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

Scleral buckling surgery for rhegmatogenous retinal detachment with subretinal proliferation

Long-term follow-up with optical coherence tomography and microperimetry in eyes with metamorphopsia after macula-off retinal detachment repair

Royal College of Ophthalmologists' National Database Study of Vitreoretinal Surgery

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