success rates of scleral buckling with and without retinopexy
نویسندگان
چکیده
purpose: to compare the anatomical results of scleral buckling surgery with and without retinopexy in the management of phakic rhegmatogenous retinal detachment (rd). methods: in this retrospective, nonrandomized, interventional, comparative case series, data of 71 phakic eyes of 71 patients with rhegmatogenous rd that had undergone scleral buckling were evaluated. the procedure in 41 consecutive eyes was accompanied by retinopexy using intraoperative transscleral cryotherapy (6 cases) or postoperative laser photocoagulation (35 cases).the next 30 eyes did not receive retinopexy.the primary outcome measure was retinal redetachment rate.the secondary outcomes measures were final visual acuity and the occurrence of cystoid macular edema and macular pucker. results: the two groups were matched regarding age, sex, history of trauma or high myopia, and duration of rd before the surgery as well as the characteristics of the breaks and rd except for rd externt which was more in the non-retinopexy group. retinal redetachment occurred in 4 patients (13.3%) in the non-retinopexy group and in 6 patients (14.6%) in the retinopexy group.the difference was not statistically significant (p>0.999).neither was the difference between the groups significant in terms of final visual acuity and the occurrence of cystoid macular edema and macular pucker. conclusion: retinopexy does not seem to offer additional benefit to scleral buckling surgery for phakic rhegmatogenous rd in terms of anatomical and functional success. however, thses findings have to be confirmed in a randomized clinical trial.
منابع مشابه
scleral buckling with and without retinopexy for rhegmatogenous retinal detachment
purpose: to compare the anatomical results of scleral buckling with or without retinopexy and to assess the effect of retinopexy on outcomes of the operation. methods: this interventional case series was performed on 22 patients undergoing scleral buckling (segmental or encircling) with or without subretinal fluid drainage and without any type of retinopexy and 33 patients who received transsc...
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introduction: there are different methods to repair retinal detachment. in this trial the retinopexy in repairmen of retinal regmatogenesis rd is compared with other methods in qazvin teaching hospitals during 1993-2003. methods: this out come study was conducted on 47 patients with s/b and retinal break cryopexy (group i) , 30 patients undergoing s/b with barrier laser photocoagulation around ...
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Purpose To assess the outcome of sutureless encirlcing number 41 band and transscleral laser retinopexy in uncomplicated rhegmatogenous retinal detachment (RRD), using a wide-angle viewing system (WAVS) and chandelier endoillumination. Methods Prospective intervention study included 30 eyes of 30 patients presenting with RRD of recent onset indicated for SB. All cases were treated by suturele...
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Scleral buckling is a highly successful technique for the repair of rhegmatogenous retinal detachment that requires intra-operative examination of the retina and treatment of retinal breaks via indirect ophthalmoscopy. Data suggest that scleral buckling likely results in improved outcomes for many patients but is declining in popularity, perhaps because of significant advances in vitrectomy ins...
متن کاملA Scleral Buckling Procedure.
THE past few years have seen the rapid development of scleral buckling procedures for the treatment of retinal separation (Cavka, 1959; Schepens, Okamura, and Brockhurst, 1957; Schepens, Okamura, Brockhurst, and Regan, 1960; Fison, McAuley, Meyer-Schwickerath, and Trevor-Roper, 1960). About 6 years ago I first used the lamellar scleral flap to cover the area of resection. The flap covered the k...
متن کاملPneumatic retinopexy: success rate and complications.
AIM To evaluate the success rate and complications of pneumatic retinopexy performed at a university hospital and to identify which patients are best suited for pneumatic retinopexy. METHODS This was an interventional case series. Retrospective review of 61 patients who had pneumatic retinopexy performed by two retina surgeons at two University of California, San Francisco hospitals between 1...
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عنوان ژورنال:
بیناجلد ۱۷، شماره ۱، صفحات ۴۵-۵۳
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