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Paper Information

Journal:   BINA   Winter 2004 , Volume 9 , Number 2 (34); Page(s) 149 To 154.
 
Paper: 

SCLERAL BUCKLING WITHOUT RETINOPEXY IN PRIMARY RETINAL DETACHMENT

 
 
Author(s):  NILI AHMADABADI MAHDI, LASHEY A., KARKHANEH R., RIAZI ESFAHANI M.
 
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Abstract: 

Purpose: To determine the success rate of scleral buckling without retinopexy in patients with primary retinal detachment.
Methods: In a before-after clinical trial, 24 patients who had primary retinal detachment with PVR grade A or B underwent scleral buckling surgery with encircling band without retinopexy.
Results: Sixteen (66.7%) patients were male and 8 (33.3%) were female. Mean age of the patients was 43.5 years (range, 22-73). Seventeen (70.8%) were phakic and 7 (29.2%) were pseudophakic or aphakic. Anatomical success rate was 100% intraoperatively. However, within 1-14 weeks redetachment occurred in 11.8% of phakic and 43% of pseudophakic or aphakic eyes. Reattachment was achieved in 4 patients by SF6 injection and laser application. Overall final success rate was 95.8%, but in phakic eyes it was 100%. Only 1 pseudophakic eye required pars plana deep vitrectomy, endolaser, and SF6 injection. All cases who underwent reoperation had attached retina up to end of the study with mean follow up of 53 months.
Conclusion: Encircling scleral buckling surgery without retinopexy in phakic patients with primary retinal detachment and PVR grade A or B is safe with acceptable results but the results are guarded in pseudophakic or aphakic patients and needs more investigation.

 
Keyword(s): CRYO, RETINAL DETACHMENT, RETINOPEXY, SCLERAL BUCKLING
 
References: 
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