Incidence of redetachment 6 months after scleral buckling surgery.

F. Goezinne, E.C. La Heij, T.T. Berendschot, A.G. Kessels, A.T. Liem, R.M. Diederen, F. Hendrikse

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Abstract

Purpose: The preoperative and intraoperative clinical variables associated with redetachment and/or a poor visual outcome following scleral buckling (SB) surgery for rhegmatogenous retinal detachment (RRD) have mainly been studied after a short follow-up. This study aimed to analyse long-term effects by following patients for at least 6 months. Methods: In a retrospective survey we evaluated the data of 436 eyes that underwent SB surgery. Postoperative data were collected at 3-month intervals. Results: After a mean follow-up period of 51 months, anatomic reattachment was achieved in 76% after one SB procedure, with a final reattachment rate of 97% after additional vitreoretinal procedures. In total, 104 eyes developed redetachment during follow-up. After more than 6 and 12 months of follow-up, 32 eyes (7%) and 20 eyes (5%), respectively, developed redetachment. Multivariate regression analysis showed that recurrent redetachment and more than 7 days of visual field loss were significant predictors for a poor postoperative visual outcome at 12 months. A cumulative size of the tear of more than three disc diameters was a significant predictor of recurrent RRD. Conclusion: Conventional SB surgery is a reliable procedure in a selected group of eyes with primary RRD. However, in eyes with a retinal tear with a cumulative size of more than three disc diameters, a primary vitrectomy should be considered. Taking into account that 7% of eyes developed redetachment after 6 months, a longer follow-up period seems necessary to evaluate the anatomical and visual outcomes after SB surgery.
Original languageEnglish
Pages (from-to)199-206
Number of pages8
JournalActa Ophthalmologica
Volume88
Issue number2
DOIs
Publication statusPublished - Mar 2010

Keywords

  • anatomical success
  • follow-up
  • primary rhegmatogenous retinal detachment
  • redetachment
  • retinal detachment
  • scleral buckling
  • visual outcome
  • RHEGMATOGENOUS RETINAL-DETACHMENT
  • OPTICAL COHERENCE TOMOGRAPHY
  • SILICONE OIL TAMPONADE
  • PRIMARY VITRECTOMY
  • FOLLOW-UP
  • VISUAL RECOVERY
  • MACULAR INVOLVEMENT
  • MANAGEMENT
  • REATTACHMENT
  • PROGNOSIS

Cite this

Goezinne, F., La Heij, E. C., Berendschot, T. T., Kessels, A. G., Liem, A. T., Diederen, R. M., & Hendrikse, F. (2010). Incidence of redetachment 6 months after scleral buckling surgery. Acta Ophthalmologica, 88(2), 199-206. https://doi.org/10.1111/j.1755-3768.2008.01425.x