Scleral buckling in retinal detachment due to retinal dialysis – A vitreoretina fellow’s perspective
Purpose: To analyze the efficacy of scleral buckling in the hands of vitreo-retina (VR) fellows under training in eyes with retinal detachment associated with retinal dialysis and analyze the patient and retinal characteristics in these eyes. Methods: We carried out a retrospective consecutive case...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_813_24 |
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| author | Akshaya Balaji Saurabh Verma Nawazish Shaikh Shorya V Azad Parmanand Kumar Rohan Chawla Vinod Kumar |
| author_facet | Akshaya Balaji Saurabh Verma Nawazish Shaikh Shorya V Azad Parmanand Kumar Rohan Chawla Vinod Kumar |
| author_sort | Akshaya Balaji |
| collection | DOAJ |
| description | Purpose:
To analyze the efficacy of scleral buckling in the hands of vitreo-retina (VR) fellows under training in eyes with retinal detachment associated with retinal dialysis and analyze the patient and retinal characteristics in these eyes.
Methods:
We carried out a retrospective consecutive case review at a tertiary eye care center in North India. Records of all the patients who had undergone scleral buckling (SB) for retinal dialysis-associated rhegmatogenous retinal detachment by VR fellows (with less than 2 years’ experience) between January 2017 and January 2020 were reviewed.
Results:
Fifty-three eyes of 53 patients with a mean age of 20.77 years were analyzed. Of the patients, 73.58% were males. History of eye trauma was present in 71.69% patients. A total of 21 residents operated these 53 eyes. SB was able to achieve retinal attachment in a single surgery in 84.9% (45/53) eyes. Mean preoperative best corrected visual acuity was 1.9 ± 1.05 log of minimum angle of resolution (logMAR), which improved postoperatively to 1.07 ± 0.72 logMAR (P < 0.001). Surgical success rate was 85.71% (24/28) in eyes with no proliferative vitreoretinopathy (PVR), 66.66% (2/3) in eyes with PVR-A, 91.66% (11/12) in eyes with PVR-B, and 80% (8/10) in eyes with PVR-C1. Fifty-two eyes had a single dialysis and one eye had two separate dialysis. Six eyes had giant retinal dialysis (dialysis greater than 3 clock hours) and all were due to trauma. Five patients had retinal dialysis in the fellow eye and were diagnosed with bilateral idiopathic retinal dialysis.
Conclusion:
Scleral buckling is a safe and effective management for retinal dialysis retinal detachment even in the hands of VR fellows under training. |
| format | Article |
| id | doaj-art-5ba80697baa046f4a2539d7e0b31c638 |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-5ba80697baa046f4a2539d7e0b31c6382025-01-07T06:28:38ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-01-0173Suppl 1S164S16810.4103/IJO.IJO_813_24Scleral buckling in retinal detachment due to retinal dialysis – A vitreoretina fellow’s perspectiveAkshaya BalajiSaurabh VermaNawazish ShaikhShorya V AzadParmanand KumarRohan ChawlaVinod KumarPurpose: To analyze the efficacy of scleral buckling in the hands of vitreo-retina (VR) fellows under training in eyes with retinal detachment associated with retinal dialysis and analyze the patient and retinal characteristics in these eyes. Methods: We carried out a retrospective consecutive case review at a tertiary eye care center in North India. Records of all the patients who had undergone scleral buckling (SB) for retinal dialysis-associated rhegmatogenous retinal detachment by VR fellows (with less than 2 years’ experience) between January 2017 and January 2020 were reviewed. Results: Fifty-three eyes of 53 patients with a mean age of 20.77 years were analyzed. Of the patients, 73.58% were males. History of eye trauma was present in 71.69% patients. A total of 21 residents operated these 53 eyes. SB was able to achieve retinal attachment in a single surgery in 84.9% (45/53) eyes. Mean preoperative best corrected visual acuity was 1.9 ± 1.05 log of minimum angle of resolution (logMAR), which improved postoperatively to 1.07 ± 0.72 logMAR (P < 0.001). Surgical success rate was 85.71% (24/28) in eyes with no proliferative vitreoretinopathy (PVR), 66.66% (2/3) in eyes with PVR-A, 91.66% (11/12) in eyes with PVR-B, and 80% (8/10) in eyes with PVR-C1. Fifty-two eyes had a single dialysis and one eye had two separate dialysis. Six eyes had giant retinal dialysis (dialysis greater than 3 clock hours) and all were due to trauma. Five patients had retinal dialysis in the fellow eye and were diagnosed with bilateral idiopathic retinal dialysis. Conclusion: Scleral buckling is a safe and effective management for retinal dialysis retinal detachment even in the hands of VR fellows under training.https://journals.lww.com/10.4103/IJO.IJO_813_24bilateral idiopathic retinal dialysisretinal dialysisscleral bucklingvitreoretinal fellow |
| spellingShingle | Akshaya Balaji Saurabh Verma Nawazish Shaikh Shorya V Azad Parmanand Kumar Rohan Chawla Vinod Kumar Scleral buckling in retinal detachment due to retinal dialysis – A vitreoretina fellow’s perspective Indian Journal of Ophthalmology bilateral idiopathic retinal dialysis retinal dialysis scleral buckling vitreoretinal fellow |
| title | Scleral buckling in retinal detachment due to retinal dialysis – A vitreoretina fellow’s perspective |
| title_full | Scleral buckling in retinal detachment due to retinal dialysis – A vitreoretina fellow’s perspective |
| title_fullStr | Scleral buckling in retinal detachment due to retinal dialysis – A vitreoretina fellow’s perspective |
| title_full_unstemmed | Scleral buckling in retinal detachment due to retinal dialysis – A vitreoretina fellow’s perspective |
| title_short | Scleral buckling in retinal detachment due to retinal dialysis – A vitreoretina fellow’s perspective |
| title_sort | scleral buckling in retinal detachment due to retinal dialysis a vitreoretina fellow s perspective |
| topic | bilateral idiopathic retinal dialysis retinal dialysis scleral buckling vitreoretinal fellow |
| url | https://journals.lww.com/10.4103/IJO.IJO_813_24 |
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