CLINICAL OUTCOMES OF SCLERAL BUCKLING COMBINED WITH PARS PLANA VITRECTOMY FOR RHEGMATOGENOUS RETINAL DETACHMENT

ANDRY LUKANDY (1) , Eugeni Sumanti (2)
(1) Opthalmology Department, Faculty of Medicine Sam Ratulangi University , Indonesia
(2) Consultant Vitreoretinal Surgeon, Opthalmology Department, Faculty of Medicine Sam Ratulangi University , Indonesia

Abstract

Introduction and Objective: The various types of primary interventions for rhegmatogenous retinal detachment (RRD) include pars plana vitrectomy (PPV), scleral buckling (SB), and combination of both. Intraocular tamponade with silicone oil (SO) or expanding gas. This research was conducted to evaluate the clinical outcomes of SB combined with PPV as a treatment for RRD.


Methods: This research was prospective descriptive study with total sampling for RRD treated by SB combined with PPV from August 2022 to January 2023 in RSUP. Prof. Dr. R.D. Kandou. BCVA, IOP, clinical findings, intraocular tamponade and complications after the surgery were observed.


Results: Most of the patients was male with average age of 28 ± 40 years. RRD was observed in 6 eyes and laterality on right eye. BCVA was 2.5 ± 2 logMAR before the surgery and 2.3 ± 1 logMAR 1 month after the surgery. BCVA  day 1, 1 week, 2 weeks and 1 month showed no significant difference after the surgery compared to baseline (p = 0.317, p = 0.949, p = 0.611, p= 0.611 respectively). Preoperative IOP was 7 ± 11 mmHg and 13.6 ± 10 mmHg 1 month after the surgery. IOP 1 week and 1 month showed significant difference (p = 0.027, p=0.011). IOP day 1, 2 weeks and 1 month showed there was no significant difference after the surgery on day 1 and 2 weeks.


Conclusion: There were several clinical condition seen such as BCVA after the surgery didn’t improve as expected, subconjunctival bleeding was found the most as postoperative complications.


Keyword: Scleral buckling, Pars plana vitrectomy, silicon oil, retinal detachment

Full text article

Generated from XML file

References

Park SW, Lee JJ, Lee JE. Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives. Clinical Ophthalmology 2018;12:1-11.

AAO (American Academy of Ophthalmology). Retina and Vitreoretina. Basic and Clinical Science Course. San Fransisco: American Academy of Ophthalmology 2021: 320-26.

Tatsumi T, Baba T, Iwase T et al. Outcomes of Vitrectomy Combined with Scleral Buckling for Eyes with Early Recurrence of Simple Rhegmatogenous Retinal Detachment Previously Treated by Pars Plana Vitrectomy. Hindawi Journal of Ophthalmology 2020:1-7.

Schmidt I, Plange N, Robler G et al. Long term Clinical Results of Vitrectomy and Scleral Buckling in Treatment of Rhegmatogenous Retinal Detachment. Hindawi Journal of Ophthalmology 2019:1-7.

Radice P, Carini E, Seidenari P, Govetto A. Standardized scleral buckling approach in the management of noncomplex primary rhegmatogenous retinal detachment. European Journal of Ophthalmology 2020:1-10.

Cochrane Library. Pars plana vitrectomy combined with scleral buckle versus pars plana vitrectomy for giant retinal tear.

Lee CS, Shaver K, Yun SH, Kim D, Wen S, Ghorayeb G. Comparison of the visual outcome between macula-on and macula-off rhegmatogenous retinal detachment based on the duration of macular detachment. BMJ Open Ophthalmology 2021;6:1-6.

Fallico M, Alosi P, Reibaldi M et al. Scleral Buckling: A Review of Clinical Aspects and Current Concepts. Jour Clin Med 2022;11:1-16.

Doshi R, Noohani T. Subconjunctival Hemorrhage. 20 February 2023. https://www.ncbi.nlm.nih.gov/books/NBK551666/ (10 Maret 2023)

Hinai ASA. Corneal Epithelial defect after pars plana vitrectomy. Oman J Ophthalmol 2017;10(3):1-7.

Lv Z, Li Y, Wu Y, Qu Y. Surgical Complications of Primary Rhegmatogenous Retinal Detachment: A Meta-Analysis. PLoS ONE 2015;10(3):1-13

Authors

ANDRY LUKANDY
andrylukandy@gmail.com (Primary Contact)
Eugeni Sumanti
LUKANDY, A., & Sumanti, E. . (2024). CLINICAL OUTCOMES OF SCLERAL BUCKLING COMBINED WITH PARS PLANA VITRECTOMY FOR RHEGMATOGENOUS RETINAL DETACHMENT . Ophthalmologica Indonesiana, 49(S1), 103-112. https://doi.org/10.35749/3bpnxt80

Article Details

How to Cite

LUKANDY, A., & Sumanti, E. . (2024). CLINICAL OUTCOMES OF SCLERAL BUCKLING COMBINED WITH PARS PLANA VITRECTOMY FOR RHEGMATOGENOUS RETINAL DETACHMENT . Ophthalmologica Indonesiana, 49(S1), 103-112. https://doi.org/10.35749/3bpnxt80

Pneumatic Retinopexy in Rhegmatogenous Retinal Detachment : Case Series

Fauzan Teuku Banta, Ari Djatikusumo, Elvioza Elvioza, Gitalisa Andayani, Anggun Rama Yudhanta,...
Abstract View : 268
Download :216

SCLERAL WOUND HEALING IN PARS PLANA VITRECTOMY : A NARRATIVE REVIEW

Nabita Aulia, Habibah S. Muhiddin, Budu, Andi Muhammad Ichsan, Hasnah Eka
Abstract View : 0