TY - JOUR
T1 - Encircling scleral buckling with inferior indentation for recurrent retinal detachment in highly myopic eyes
AU - Ripandelli, Guido
AU - Rossi, Tommaso
AU - Scarinci, Fabio
AU - Stirpe, Mario
PY - 2015/3/10
Y1 - 2015/3/10
N2 - Purpose: To report on the use of scleral buckling (SB) alone or associated to pars plana vitrectomy (PPV) for the treatment of recurrent retinal detachment in highly myopic eyes with axial length >26.5 mm. Methods: Single-surgeon, retrospective consecutive operative series consisting of 255 eyes of 237 highly myopic patients suffering recurrent retinal detachment after primary SB (40%), primary PPV (40%), and multiple surgery (20%). Included eyes underwent either a 6-mm encircling band associated to a 6-mm inferior buckle wedge-shaped or 2.5 mm band and 15 mm inferior buckle. Results: Overall 88% of sample population had an attached retina after 1 surgery (90% in the post-SB group, 90% in the post-PPV group, and 85% in the post-multiple surgery group). Visual acuity results were less encouraging with a mean 20/60 visual acuity in the post-SB group and 20/200 in both post-PPV and post-multiple surgery groups. Conclusion: Encircling SB explants with extensive inferior indentation can be a valuable adjunct to PPV, membrane peeling, and silicone oil tamponade in the treatment of recurrent retinal detachment in highly myopic eyes. Although anatomical success rate is increasingly high, vision is often disappointing.
AB - Purpose: To report on the use of scleral buckling (SB) alone or associated to pars plana vitrectomy (PPV) for the treatment of recurrent retinal detachment in highly myopic eyes with axial length >26.5 mm. Methods: Single-surgeon, retrospective consecutive operative series consisting of 255 eyes of 237 highly myopic patients suffering recurrent retinal detachment after primary SB (40%), primary PPV (40%), and multiple surgery (20%). Included eyes underwent either a 6-mm encircling band associated to a 6-mm inferior buckle wedge-shaped or 2.5 mm band and 15 mm inferior buckle. Results: Overall 88% of sample population had an attached retina after 1 surgery (90% in the post-SB group, 90% in the post-PPV group, and 85% in the post-multiple surgery group). Visual acuity results were less encouraging with a mean 20/60 visual acuity in the post-SB group and 20/200 in both post-PPV and post-multiple surgery groups. Conclusion: Encircling SB explants with extensive inferior indentation can be a valuable adjunct to PPV, membrane peeling, and silicone oil tamponade in the treatment of recurrent retinal detachment in highly myopic eyes. Although anatomical success rate is increasingly high, vision is often disappointing.
KW - high myopia
KW - PVR
KW - recurrent retinal detachment
KW - retinal detachment
KW - scleral buckling
UR - http://www.scopus.com/inward/record.url?scp=84924447837&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84924447837&partnerID=8YFLogxK
U2 - 10.1097/IAE.0000000000000389
DO - 10.1097/IAE.0000000000000389
M3 - Article
C2 - 25360789
AN - SCOPUS:84924447837
VL - 35
SP - 416
EP - 422
JO - Retina
JF - Retina
SN - 0275-004X
IS - 3
ER -