Analysis on the efficacy and safety of scleral buckling in the treatment of rhegmatogenous retinal detachment with subretinal proliferation

• Main Authors: Qiong Yang, Wen-Bin Wei
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2021-08-01
• Series: Guoji Yanke Zazhi
• Subjects: rhegmatogenous retinal detachment; scleral buckling; subretinal proliferation
• Online Access: http://ies.ijo.cn/cn_publish/2021/8/202108034.pdf

AIM: To evaluate the outcome of scleral buckling(SB)in patients with rhegmatogenous retinal detachment(RRD)with subretinal proliferation. METHODS: This was a retrospective clinical analysis research. Patients with RRD associated with subretinal proliferation who visited the Beijing Tongren Hospital were included in this study. From October 2016 to January 2020. There were 54 patients, including 36 males and 18 females, with the average age of 24.92±11.99 years. The retinal detachment range <1, 1-2 and >2 quadrants were 12, 25 and 17 eyes, respectively. The macula was involved in 47 eyes. Subretinal proliferation range <1, 1-2 and >2 quadrants were 26, 23 and 5 eyes, respectively. The average Logarithm of the minimum angle of resolution(LogMAR)best corrected visual acuity(BCVA)was 1.21±0.77, all patients were treated with SB under general anesthesia and the anatomical retinal reattachment, visual acuity and complications were observed.RESULTS: The retina was reattached in 52 eyes(96%), and 2 eyes(4%)needed pars plana vitrectomy for retinal redetachment. The mean follow wp was 19.17±11.15mo. The BCVA improved from 1.21±0.77 LogMAR before surgery to 0.61±0.40 LogMAR after surgery(P<0.01). No serious complications occurred. CONCLUSION: Under the circumstance of correct selection of indications, SB was highly successful in eyes with RRD associated with subretinal proliferation.