Research Mentor Name

Omar Moinuddin

Research Mentor Email Address

Omoinuddin@arcpc.net

Institution / Department

Associated Retinal Consultants

Document Type

Research Abstract

Research Type

basicbio

Level of Research

no

Abstract

Title: Outcomes of Primary Scleral Buckle Repair in the Modern Management of Non-

Complex Rhegmatogenous Retinal Detachment

Purpose: To report surgical outcomes in eyes with non-complex rhegmatogenous retinal detachment managed with primary scleral buckle (SB) at a single academic institution over a 10-year period, with a secondary focus to determine if outcomes varied based on macula detachment status, presence of posterior vitreous detachment, and location of retinal detachment and retinal breaks.

Methods: Retrospective, consecutive, interventional case series of SB performed in the management of non-complex rhegmatogenous retinal detachment by a single group of vitreoretinal surgeons between 2014-2023. Anatomic success was subcategorized into single surgery anatomic success (SSAS) and final anatomic success (FAS), defined as achieving retinal attachment after a single operation (SSAS) and requiring ≥ 1 operation to achieve retinal attachment (FAS).

Results: Six-hundred and seven eyes were included. The median length of follow up in months was 31, (range, 3-115). For the total cohort we report a SSAS of 90.8% and FAS of 96.7%. The majority (65.7%) of cases were macula-on. While there was no significant difference in SSAS (92.2%, macula-on vs 88.0%, macula-off; p=0.117), FAS was significantly greater in eyes with macular attachment status at time of surgery (98.0%, macula-on vs 94.2%, macula off; p=0.026). Secondary analysis for the presence of PVD showed no significant difference in SSAS (90.6%, PVD vs 91.0%, no PVD; p=0.978) or FAS (98.0%, PVD vs 95.5%, no PVD; p=0.135). The location of retinal detachment also did not determine a significant difference in SSAS (91%, inferior vs 90.7%, superior vs 90.4%, equal clock hours of detachment above and below the horizontal meridian; p=0.985) or FAS (97.5%, inferior vs 97.1%, superior vs 92.8%, equal clock hours of detachment above and below the horizontal meridian; p=0.094). Furthermore, there was no significant difference based on the presence of inferior retinal breaks in SSAS (89.7%, inferior retinal breaks vs 91.7%, no identified inferior retinal breaks; p=0.469) or FAS (96.1%, inferior retinal breaks vs 97.2%, no identified inferior retinal breaks; p=0.571).

Conclusion: Primary SB yields excellent outcomes and remains a successful surgical option for varying anatomic configurations of non-complex rhegmatogenous retinal detachment.

Disciplines

Medicine and Health Sciences

Download

Share

COinS