Factors Influencing Retinal Redetachment After Removal of Buckling Elements

Buckle-related complications following surgical repair of retinal dialysis

“…13,[16][17][18][19][21][22][23] In this study, there was a low rate of retinal redetachment following removal of buckle (7.7%), and, as mentioned previously, this case was remarkable owing to its complicated primary reattachment surgery, with globe perforation following suture placement. Also, as the buckle was obviously extruding in this particular case to such a degree that it could be safely and painlessly removed at the slit lamp, it is doubtful that this explant was creating an indent sufficient to contribute to a successful surgical outcome, or that its removal actually contributed to retinal redetachment.…”

“…It has been suggested that 6 months follow-up is adequate to identify cases of retinal detachment following buckle removal, as most cases that redetach will do so during this period, 21,22 with the highest rate of redetachment occurring within the first 30 days. 21 Risk of retinal redetachment following removal of a scleral explant is reportedly increased in the following instances: relatively short interval between the primary retinal detachment repair and removal of the buckle; 22 the presence of retinal tears, as opposed to holes; 22 if there are no breaks identified at the time of the primary reattachment surgery; 17 the presence of vitreous traction at the time of the initial retinal detachment surgery; 21,22 and greater extent of the original retinal detachment. 21 It is possible that retinal dialysis repair is unlike other types of retinal detachment surgery, with uncomplicated cases having a much lower rate of redetachment following buckle removal.…”

Risk Factors for Scleral Buckle Removal: A Matched, Case-Control Study

“…22 Removal of buckling elements is a significant event, as it can result in scleral perforation, 11,14 endophthalmitis, 14,23 and recurrent RD in 0% to 34% of cases. [1][2][3][6][7][8]10,11,13,14,24,25 Although prior studies have investigated complications of SB removal, [2][3][4][5][8][9][10][11] we are not aware of any recent large case-control study on risk factors for SB removal.…”

A Novel use of Dermis Fat Graft for the Repair of an Exposed Scleral Buckle

“…Risk factors include a history of multiple retinal detachments, persistent vitreoretinal traction, proliferative vitreoretinopathy, aphakia with multiple posterior breaks, exposures with retina attached for a short duration, and lack of detecting retinal holes/tears at the time of the original RD repair [6][7][8]. In our monocular patient with Stickler Syndrome contributing to multiple retinal detachments and a recent SB placement of less than six months, there would have been high risk of retinal re-detachment upon SB removal.…”

“…SB removal leads to retinal re-detachment in 8-14.5% of patients, especially when done within six months of SB placement [6,7]. Risk factors include a history of multiple retinal detachments, persistent vitreoretinal traction, proliferative vitreoretinopathy, aphakia with multiple posterior breaks, exposures with retina attached for a short duration, and lack of detecting retinal holes/tears at the time of the original RD repair [6][7][8].…”