Efficacy and safety of scleral buckling for recurrent retinal detachment after vitrectomy
Objective To study the efficacy and safety of scleral buckling in the treatment of recurrent retinal detachment (re-RD) after vitrectomy.Methods Retrospective review of medical records was performed on 14 patients (14 eyes), who underwent pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment and were treated with scleral buckling after re-RD.Among these, 6 eyes (42.86%) had re-RD with silicone oil (SiO) tamponade and re-RD were found in 8 eyes (57.14%) after silicone oil removal.All patients had proliferative vitreoretinopathy (PVR) B and retinal breaks, and retinal detachment was found<3 quadrants in 13 eyes (92.86%).The follow-up period was at least 6 months.The final anatomical and functional outcomes, as well as postoperative complications were analyzed.Results At the last follow-up, all 14 eyes achieved total retinal reattachment.The postoperative best-corrected visual acuity (BCVA) improved significantly (P<0.05) from preoperative BCVA (0.91±0.75) LogMAR to postoperative BCVA (0.60±0.34) LogMAR.Two patients (14.29%) with SiO-filled eyes developed elevated intraocular pressure after surgery, which normalized with the use of medication and remained normal during the follow-up period after SiO removal.Two patients (14.29%) developed postoperative macular cystoid edema, which resolved with topical glucocorticosteroid treatment.There were no complications such as choroidal detachment, ocular anterior segment ischemia, buckle infection, endophthalmitis or diplopia in the postoperative period.Conclusion Scleral buckling can be effective and safe in the treatment of re-RD after vitrectomy, especially for patients with PVR less than grade C, well-defined retinal breaks, and retinal detachment<3 quadrants.
万方数据
维普
