Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome

Oluleye, Tunji S; Ibrahim, OA; Olusanya, Bolutife

doi:10.2147/opth.s44407

Cited by 6 publications

(10 citation statements)

References 8 publications

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“…In group A (2002–2005), retinopexy was achieved through cryotherapy and in group B (2011–2014) retinopexy was done using postoperative 532 nm laser photocoagulation. The anatomic success rate in this study was comparable with other studies 1,3,4,8,10–13. Avitabile et al evaluated the efficacy of cryotherapy vs transpupillary laser retinopexy in a randomized prospective study of 703 patients with RRD undergoing SB 14.…”

Section: Discussionsupporting

confidence: 84%

Scleral buckle surgery in Ghana: a decade comparison of the anatomic and visual outcome

Braimah

Akafo

Chhablani

2018

OPTH

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PurposeTo compare the anatomic and visual outcome of scleral buckle (SB) surgery in Korle Bu Teaching Hospital between 2002 and 2005 and 2011 and 2014.Materials and methodsIn this retrospective comparative study, the medical records of patients who have undergone SB for rhegmatogenous retinal detachment from January 2002 to December 2005 (group A) and from January 2011 to December 2014 (group B) in Korle Bu Teaching Hospital were examined. The clinical history, surgical techniques, and outcomes of treatment were analyzed. The main outcome measures were primary anatomic success (retina reattached for at least 3 months postoperatively after a single procedure), overall anatomic success (combined primary anatomic success and success following revision of SB with at least 3 months follow-up), mean postoperative best-corrected visual acuity (BCVA), and complications.ResultsOne hundred fifty-eight eyes (71 eyes in group A and 87 eyes in group B) were treated with SB in this study. The mean duration of rhegmatogenous retinal detachment was 105.5 days. Thirty-four (21.8%) of fellow eyes had BCVA worse than 6/60 at presentation. The primary anatomic success was comparable between the two groups; 70% in group A and 67.9% in group B (P=0.79). The overall anatomic success was also comparable between the two groups (76.7% in group A vs 79.8% in group B) (P=0.788). The mean postoperative BCVA in logMAR was significantly better than the mean preoperative BCVA (P<0.0001). Group B had significantly better mean BCVA (P=0.002) and longer duration of follow-up (P<0.0001) compared with group A at the last follow-up visit.ConclusionThe anatomic success of SB between the two time periods was comparable. A longer postoperative duration of follow-up was associated with a better visual outcome after SB.

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Section: Discussionsupporting

confidence: 84%

Scleral buckle surgery in Ghana: a decade comparison of the anatomic and visual outcome

Braimah

Akafo

Chhablani

2018

OPTH

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“…Another study done by Oluleye et al .,[ 12 ] also showed anatomical attachment success in 40 eyes (90.9%) at the 1 st day postoperatively and in 32 eyes (86.5%) at 6 weeks after scleral buckle surgery. In a study done on 43 eyes of patients who underwent scleral buckling and cryopexy, anatomic success was achieved in 95.3% of eyes.…”

Section: Discussionmentioning

confidence: 92%

“…The superiority of scleral buckle in terms of final visual acuity and the occurrence of postoperative cataract in uncomplicated phakic RRDs were showed. [ 8 9 10 11 12 ] The aim of this study is to highlight the anatomical and visual outcomes of scleral buckling surgery in relation to the pattern of presentation of rhegmatogenous RD in the presence of different situations and risk factors.…”

Section: Introductionmentioning

confidence: 99%

Anatomical and visual outcomes of scleral buckling surgery in rhegmatogenous retinal detachment

Sharma

Akkawi

Shehadeh

et al. 2020

Middle East Afr J Ophthalmol

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PURPOSE: The aim of this study is to evaluate the short anatomical and visual outcomes of scleral buckling surgery in relation to the pattern of presentation of rhegmatogenous retinal detachment (RRD) in the presence of different situations and risk factors. METHODS: A total of 206 eyes of 203 patients who underwent scleral buckling surgery for RRD were evaluated in this retrospective study. Information retrieved included patient demographics, duration of symptoms, and presenting vision, lens status, site of a retinal break, extent of retinal detachment, the involvement of the fellow eye, macular involvement, presence of lattice degeneration, and associated refractive errors. Postoperative retinal reattachment, postoperative visual acuity, the need for further surgical intervention, intraoperative, and postoperative complications were also evaluated. Proportions and percentages were used to analyze data. RESULTS: Primary anatomical reattachment was seen in 172 eyes (83.5%) after the complete resolution of the tamponade used. The mean best-corrected visual acuity improved from 2.81 logarithms of the minimum angle of resolution (LogMar) preoperatively to 1.21 LogMar postoperatively, the most important factors that appeared statistically significantly affecting the anatomic and visual outcome were the duration of macular detachment ( P = 0.036), the status of the lens; phakic eyes gave better visual outcome than aphakic and pseudophakic eyes ( P < 0.05). CONCLUSION: Scleral buckling procedure showed high structural and visual success rates, improvement of visual acuity was found to correlate well with the shorter duration of macular detachment and pseudophakic eyes. We believe that scleral buckling, when done appropriately in the appropriate cases, gives the maximum visual outcome with the least cost and need for consecutive procedures.

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“…Some studies from SSA have reported on the burden of RD and outcome of its treatment. [21][22][23] In one study RRD repair was the commonest indication (62%) out of a thousand vitrectomies performed in a single vitreoretinal unit in Nigeria. 23 RRD was associated with a higher degree of PVR, which is a poor prognostic feature.…”

Section: Discussionmentioning

confidence: 99%

“…Studies from SSA have reported various levels of success using scleral buckling technique for repair of RRD in the region. 21,22 However, vitrectomy will be required for the more complex forms of RD including the advanced PVR RRD and TRD. 23 AMD was a common retinal finding in studies from Nigeria.…”

Section: Discussionmentioning

confidence: 99%

<p>Profile, Visual Presentation and Burden of Retinal Diseases Seen in Ophthalmic Clinics in Sub-Saharan Africa</p>

Nkanga

Adenuga

Okonkwo

et al. 2020

OPTH

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Purpose: To determine the burden of retinal diseases and the degree of visual impairment associated with each disease, amongst Nigerians. Patients and Methods: This was a hospital-based multicenter, prospective, cross-sectional, non-comparative study conducted from January to December 2018. Data was obtained from consecutive patients with a retinal diagnosis presenting at the general ophthalmic and specialty retina clinics in four hospitals (three public, and one private teaching eye department) in Nigeria. Biodata, visual acuity and refraction, intraocular pressure, findings on dilated retinal examination, diagnosis and systemic diseases were noted. Degree of monocular and bilateral visual loss associated with each diagnosed retinal disease was summarized and p value was calculated using chi-square test. P < 0.05 was considered significant. Results: Eight hundred seventy-six of 8614 patients had a retinal diagnosis; establishing a hospital-based retinal disease prevalence of 9.8%. Male:female ratio was 1.1:1. The mean age of study patients was 49.97 (standard deviation 17.64 years). Mean symptom duration was 21.63 months (standard deviation 41.94). The mean intraocular pressure was 13.87 mmHg. Forty-three different retinal diseases were diagnosed. The most common was retinal complications of diabetes, i.e., diabetic retinopathy (DR) alone, diabetic macular edema (DME) alone and a combination of DR and DME, which accounted for 13.7%, 5.6% and 9.3%, respectively (contributed 28.6% of the entire diagnosis). This was followed by retinal detachment (RD), in 219 eyes (15.4%), dry age-related macular degeneration (AMD) in 124 eyes (8.7%). Nearly half of the eyes were blind or severely visually impaired. Blindness occurred in 34.1% of eyes; severe visual impairment in 8.2% of eyes and 29.7% had normal vision. There were 469 patients who had systemic diseases. The common systemic diseases were hypertension in 169 patients (19.3% of the total number of patients), hypertension and diabetes in 156 patients (18%), and diabetes alone in 98 patients (11.1%). Sickle cell disease was present in 1.5%. Conclusion: There is need to invest in infrastructure, local training and development of systems for early detection and treatment of several retinal diseases in sub-Saharan Africa; DR and DME having the largest burden. Collaborative physician care and management of hypertension and diabetes could significantly reduce the burden of DR and DME.

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Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome

Cited by 6 publications

References 8 publications

Scleral buckle surgery in Ghana: a decade comparison of the anatomic and visual outcome

Scleral buckle surgery in Ghana: a decade comparison of the anatomic and visual outcome

Anatomical and visual outcomes of scleral buckling surgery in rhegmatogenous retinal detachment

<p>Profile, Visual Presentation and Burden of Retinal Diseases Seen in Ophthalmic Clinics in Sub-Saharan Africa</p>

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