Clinical Outcomes of Scleral Buckling combined with Vitrectomy Pars Plana for Rhegmatogenous Retinal Detachment Oral Presentation - Observational Study - Resident
Article Sidebar
-
Scleral buckling, Pars plana vitrectomy, silicon oil, retinal detachment
Abstract
Introduction & Objectives
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. We observed the BCVA,
IOP before and after the surgeries. Clinical findings, intraocular tamponade and complications after
the surgeries 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. Preoperative IOP was 7 ± 11 mmHg and 13.6 ± 10 mmHg 1 month after the
surgery. Macular detachment, 1 Quadrant Detachment, 1 Number of retina break mostly on superotemporal
quadrant were found the most. Proliferative vitreoretinopathy was found in 1 eye.
Intraoperative triamcinolone used in 4 eyes and perfluorocarbon in 1 eyes. Subconjunctival bleeding
was found the most, followed by corneal edema and subretinal hemorrhage as postoperative
complications respectively.
Conclusion
There were several clinical condition seen such as BCVA after the surgery that didn’t improve as
expected, High IOP found in several eyes and subconjunctival bleeding was the complication found
the most in these eyes.
Full text article
References
Park SW, Lee JJ, Lee JE. Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives. Clinical Ophthalmology 2018;12:111.
AAO (American Academy of Ophthalmology). Retina and Vitreoretina. Basic and Clinical Science Course. San Fransisco: American Academy of Ophthalmology 2021: 32026.
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) 10. 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
Copyright (c) 2023 Andry Lukandy, Eugeni Sumanti
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.