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Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 81-86

Determinants of effectiveness of scleral buckling as a primary care surgery in rhegmatogenous retinal detachment among underprivileged cases unable to afford vitrectomy

Department of Ophthalmology, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Padma B Prabhu
19/2313, 'Swathi', Chempaka Housing Colony, Pottammal, Kozhikode - 673 016, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2320-3897.156590

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Background: The purpose of this study was to determine the role of scleral buckling in the present era of pars plana vitrectomy and to evaluate the factors determining the outcome of buckling in terms of anatomical attachment of retina, visual recovery, and complication rate. Aims: To analyze the surgical outcome of uncomplicated rhegmatogenous retinal detachment (RRD) after scleral buckling and to assess the factors predictive of good outcome in the study group. Design: Retrospective chart review. Materials and Methods: Patients who underwent scleral buckling for primary RRD during the period of 2 years from June 2010 were included. The details regarding age, gender, laterality, presenting complaints, duration of the disease, coexisting systemic disease, and ocular risk factors were noted. Details of ocular examination, best corrected visual acuity (BCVA), intraocular pressure (IOP), and B scan ultrasonography findings were recorded. Follow up data of these patients for a period of four months after buckling procedure was collected. Statistical analysis was performed. Results: The type of RRD whether fresh or old, subclinical, subtotal or total, macular detachment, or the duration of onset did not affect the final outcome. Cataract surgery with vitreous disturbance was associated with poor anatomical and visual recovery. Milder cases of trauma had good prognosis. Lower pre-operative IOP and poorer pre-operative visual acuity were predictors of poor functional recovery. The technique of surgery did not influence the results. Conclusion: This surgical technique remains a choice for the underprivileged cases that are unable to afford high cost retinal procedures.

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