Short-term external buckling with pneumatic retinopexy for retinal detachment with inferior retinal breaks
Journal
American Journal of Ophthalmology
Journal Volume
155
Journal Issue
4
Date Issued
2013
Author(s)
CHIEH-HSIUNG KUAN
Cheng, H.-C.
Lee, S.-M.
Lee, F.-L.
Liu, J.-H.
Kuan, C.-H.
Lin, P.-K.
CHIEH-HSIUNG KUAN
Abstract
Purpose: To introduce a new approach for short-term external scleral buckling with pneumatic retinopexy for the management of rhegmatogenous retinal detachment with inferior retinal breaks. Design: Retrospective, noncomparative, interventional case series. Methods: A review of 33 consecutive eyes of 31 patients who underwent external buckling with pneumatic retinopexy for uncomplicated rhegmatogenous retinal detachment with inferior retinal breaks from December 2006 through December 2010. An external buckle was made of a 505 sponge sutured along the blunt side of a 279 tyre (MIRA Inc). The buckle was inserted deeply into the inferior fornix without suture after pneumatic retinopexy and was kept in place for 3 days. Primary and final anatomic outcomes, visual acuity, and adverse events were recorded. Results: All patients tolerated the procedure. The mean follow-up period was 24.0 months (range, 9 to 61 months). Primary success, defined as successful retinal reattachment within 6 months without further treatment, was achieved in 29 (87.9%) eyes. All patients attained final retinal reattachment (100%). Overall, the mean best-corrected visual acuity improved significantly at the end of follow-up (0.30 logarithm of the minimal angle of resolution units; Snellen equivalent, 6/12), compared with the preoperative best-corrected visual acuity (0.82 logarithm of the minimal angle of resolution units; Snellen equivalent, 6/38; P <.001). Conclusions: Short-term external buckling with pneumatic retinopexy is a novel and effective treatment for rhegmatogenous retinal detachment with inferior retinal breaks, with a comparable success rate with other treatment methods. This approach also can avoid complications of long-term buckle implantation. Further comparative cohort studies may be necessary to compare the clinical efficacy with other conventional operations. ? 2013 BY ELSEVIER INC. ALL RIGHTS RESERVED.
SDGs
Other Subjects
adolescent; adult; adverse outcome; aged; article; chemosis; clinical article; controlled study; disease duration; endolaser; eyelid; female; follow up; human; intervention study; intraocular pressure; intraocular pressure abnormality; laser coagulation; male; medical device complication; outcome assessment; priority journal; retina detachment; retinopexy; retrospective study; salvage therapy; sclera buckling procedure; scleral buckle; surgical patient; swelling; visual acuity; vitrectomy; vitreoretinopathy
Type
journal article