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Paper Information

Journal:   JOURNAL OF CURRENT OPHTHALMOLOGY   2005 , Volume 18 , Number 2; Page(s) 56 To 64.
 
Paper: 

PRIMARY SCLERAL BUCKLING FOR RHEGMATOGENOUS RETINAL DETACHMENT AND THE FACTORS INFLUENCING ANATOMIC AND VISUAL OUTCOME

 
 
Author(s):  ALAMI HARANDI Z.*, FAGHIHI H., MANSOURI M.R., MOVASAT M., LASHEYEI A.R., FARAHVASH M.S., KHODAMI N., RIAZI ESFAHANI M., MIRSHAHI A., NILI AHMADABADI M., CHAMS H., KARKHANEH R., JAVADIAN A., TABATABAEI SEYED ALI
 
* FARABI HOSPITAL, TEHRAN UNIVERSITY OF MEDICAL SCIENCES
 
Abstract: 

Purpose: Evaluation of characteristic and surgical outcome of patients with rhegmatogenous retinal detachment and identify the factors influencing anatomic and visual results.
Materials &Methods: In a retrospective, non comparative, interventional case series, 360 eyes from 360 patients with a clinical diagnosis of rhegmatogenous retinal detachment were examined and demographic data and surgical outcome of them were analyzed.
Success referred to attachment of retina by single procedure and failure was referred to need for more than one procedure.
Visually success was referred to improvement of post operative visual acuity.
Results: 360 eyes from 360 patients included 201 males and 159 females with a mean age 43.24±19.58 years were analysed. The anatomical success was achieved in 76% of cases. The patients were followed from 2 to 29 months. Extent of detachment, no break finding, aphakia & pseudophakia, complications, choroidal effusion and site of detachment were identified as influencing factors by Chi-square test for failure of surgery. The role of extent of detachment (P=0.001), pseudophakia or aphakia (P=0.014) and complications (P=0.025) were confirmed by stepwise logistic regression test.
Postoperative visual acuity was directly related to preoperative vision (P=0.001) and to preoperative macular condition also (P=0.01).
Conclusion: Many factors such as extent of retinal detachment,
aphakia & pseudophakia and complications, preoperative visual acuity and preoperative macular condition influence post operative anatomical and visual outcome.

 
Keyword(s): RHEGMATOGENOUS RETINAL DETACHMENT, SCLERAL BUCKLE
 
References: 
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