Results of scleral buckling for rhegmatogenous retinal detachment in phakic eyes].

J-B Conart, I Hubert, M Casillas, J-P Berrod

Service d'ophtalmologie A, CHU de Nancy, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy cedex, France.

Journal français d'ophtalmologie 2013 Mar

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To report the results of primary scleral buckling in the treatment of uncomplicated rhegmatogenous retinal detachment in phakic eyes and to determine risk factors for failure. Retrospective study of 100 consecutive phakic eyes undergoing surgery for uncomplicated retinal detachment. All patients underwent cryopexy, scleral buckling with hard silicone explant type 287 and in selected cases, drainage of subretinal fluid and gas tamponnade with air or SF6. The primary anatomic success rate was 84% and 99% respectively after one or multiple procedures. The causes of failure were new breaks (50%), proliferative vitreoretinopathy (31.2%) and malposition of the scleral buckle (18.8%). Mean visual acuity improved from 0.77±0.75 logMar to 0.21±0.19 logMar (P<0.00001). Predictive risk factors for failure included extent of the detachment beyond one quadrant and multiple breaks (P=0.03). Horseshoe tears had a worse prognosis than oral dialysis or atrophic round holes (P=0.04). Scleral buckling remains safe and effective for the treatment of uncomplicated rhegmatogenous retinal detachments in phakic eyes, especially when the extent of the detachment was less than one quadrant or in the presence of a single tear, an atrophic round hole or an oral dialysis. Copyright © 2012. Published by Elsevier Masson SAS.

Citation

J-B Conart, I Hubert, M Casillas, J-P Berrod. Results of scleral buckling for rhegmatogenous retinal detachment in phakic eyes]. Journal français d'ophtalmologie. 2013 Mar;36(3):255-60