Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures
Abstract Purpose: There are primarily two techniques for affixing the scleral buckle (SB) to the sclera in the repair of rhegmatogenous retinal detachment (RRD): scleral tunnels or scleral sutures. Methods: This retrospective study examined all patients with primary RRD who were treated with primary...
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Knowledge E
2021-07-01
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| Series: | Journal of Ophthalmic & Vision Research |
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| Online Access: | https://doi.org/10.18502/jovr.v16i3.9434 |
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| author | Matthew R. Starr Edwin H. Ryan Anthony Obeid Claire Ryan Xinxiao Gao Malika L. Madhava Sean M. Maloney Adam Z. Adika Krishi V. Peddada Kareem Sioufi Luv G. Patel Michael J. Ammar Nora J. Forbes Antonio Capone Jr. Geoffrey G. Emerson Daniel P. Joseph Dean Eliott Carl D. Regillo Jason Hsu Omesh P. Gupta Yoshihiro Yonekawa for the Primary Retinal Detachment Outcomes (PRO) Study Group |
| author_facet | Matthew R. Starr Edwin H. Ryan Anthony Obeid Claire Ryan Xinxiao Gao Malika L. Madhava Sean M. Maloney Adam Z. Adika Krishi V. Peddada Kareem Sioufi Luv G. Patel Michael J. Ammar Nora J. Forbes Antonio Capone Jr. Geoffrey G. Emerson Daniel P. Joseph Dean Eliott Carl D. Regillo Jason Hsu Omesh P. Gupta Yoshihiro Yonekawa for the Primary Retinal Detachment Outcomes (PRO) Study Group |
| author_sort | Matthew R. Starr |
| collection | DOAJ |
| description | Abstract Purpose: There are primarily two techniques for affixing the scleral buckle (SB) to the sclera in the repair of rhegmatogenous retinal detachment (RRD): scleral tunnels or scleral sutures. Methods: This retrospective study examined all patients with primary RRD who were treated with primary SB or SB combined with vitrectomy from January 1, 2015 through December 31, 2015 across six sites. Two cohorts were examined: SB affixed using scleral sutures versus scleral tunnels. Pre- and postoperative variables were evaluated including visual acuity, anatomic success, and postoperative strabismus. Results: The mean preoperative logMAR VA for the belt loop cohort was 1.05 ± 1.06 (Snellen 20/224) and for the scleral suture cohort was 1.03 ± 1.04 (Snellen 20/214, p = 0.846). The respective mean postoperative logMAR VAs were 0.45 ± 0.55 (Snellen 20/56) and 0.46 ± 0.59 (Snellen 20/58, p = 0.574). The single surgery success rate for the tunnel cohort was 87.3% versus 88.6% for the suture cohort (p = 0.601). Three patients (1.0%) in the scleral tunnel cohort developed postoperative strabismus, but only one patient (0.1%) in the suture cohort (p = 0.04, multivariate p = 0.76). All cases of strabismus occurred in eyes that underwent SB combined with PPV (p = 0.02). There were no differences in vision, anatomic success, or strabismus between scleral tunnels versus scleral sutures in eyes that underwent primary SB. Conclusion: Scleral tunnels and scleral sutures had similar postoperative outcomes. Combined PPV/SB in eyes with scleral tunnels might be a risk for strabismus post retinal detachment surgery. |
| format | Article |
| id | doaj-art-6c3a477731aa48fc9835a72c2fea124d |
| institution | Kabale University |
| issn | 2008-2010 2008-322X |
| language | English |
| publishDate | 2021-07-01 |
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| spelling | doaj-art-6c3a477731aa48fc9835a72c2fea124d2025-01-13T10:02:33ZengKnowledge EJournal of Ophthalmic & Vision Research2008-20102008-322X2021-07-0116337738310.18502/jovr.v16i3.9434jovr.v16i3.9434Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral SuturesMatthew R. Starr0Edwin H. Ryan1Anthony Obeid2Claire Ryan3Xinxiao Gao4Malika L. Madhava5Sean M. Maloney6Adam Z. Adika7Krishi V. Peddada8Kareem Sioufi9Luv G. Patel10Michael J. Ammar11Nora J. Forbes12Antonio Capone Jr.13Geoffrey G. Emerson14Daniel P. Joseph15Dean Eliott16Carl D. Regillo17Jason Hsu18Omesh P. Gupta19Yoshihiro Yonekawa20for the Primary Retinal Detachment Outcomes (PRO) Study Group Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA VitreoRetinal Surgery, Minneapolis, MN, USA Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA VitreoRetinal Surgery, Minneapolis, MN, USA VitreoRetinal Surgery, Minneapolis, MN, USA VitreoRetinal Surgery, Minneapolis, MN, USA VitreoRetinal Surgery, Minneapolis, MN, USA Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, USA VitreoRetinal Surgery, Minneapolis, MN, USA Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA VitreoRetinal Surgery, Minneapolis, MN, USA Associated Retinal Consultants, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA The Retina Center, Minneapolis, MN, USA The Retina Institute, St. Louis, MO, USA Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USAAbstract Purpose: There are primarily two techniques for affixing the scleral buckle (SB) to the sclera in the repair of rhegmatogenous retinal detachment (RRD): scleral tunnels or scleral sutures. Methods: This retrospective study examined all patients with primary RRD who were treated with primary SB or SB combined with vitrectomy from January 1, 2015 through December 31, 2015 across six sites. Two cohorts were examined: SB affixed using scleral sutures versus scleral tunnels. Pre- and postoperative variables were evaluated including visual acuity, anatomic success, and postoperative strabismus. Results: The mean preoperative logMAR VA for the belt loop cohort was 1.05 ± 1.06 (Snellen 20/224) and for the scleral suture cohort was 1.03 ± 1.04 (Snellen 20/214, p = 0.846). The respective mean postoperative logMAR VAs were 0.45 ± 0.55 (Snellen 20/56) and 0.46 ± 0.59 (Snellen 20/58, p = 0.574). The single surgery success rate for the tunnel cohort was 87.3% versus 88.6% for the suture cohort (p = 0.601). Three patients (1.0%) in the scleral tunnel cohort developed postoperative strabismus, but only one patient (0.1%) in the suture cohort (p = 0.04, multivariate p = 0.76). All cases of strabismus occurred in eyes that underwent SB combined with PPV (p = 0.02). There were no differences in vision, anatomic success, or strabismus between scleral tunnels versus scleral sutures in eyes that underwent primary SB. Conclusion: Scleral tunnels and scleral sutures had similar postoperative outcomes. Combined PPV/SB in eyes with scleral tunnels might be a risk for strabismus post retinal detachment surgery.https://doi.org/10.18502/jovr.v16i3.9434rhegmatogenous retinal detachmentscleral bucklescleral suturescleral tunnelsstrabismus |
| spellingShingle | Matthew R. Starr Edwin H. Ryan Anthony Obeid Claire Ryan Xinxiao Gao Malika L. Madhava Sean M. Maloney Adam Z. Adika Krishi V. Peddada Kareem Sioufi Luv G. Patel Michael J. Ammar Nora J. Forbes Antonio Capone Jr. Geoffrey G. Emerson Daniel P. Joseph Dean Eliott Carl D. Regillo Jason Hsu Omesh P. Gupta Yoshihiro Yonekawa for the Primary Retinal Detachment Outcomes (PRO) Study Group Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures Journal of Ophthalmic & Vision Research rhegmatogenous retinal detachment scleral buckle scleral suture scleral tunnels strabismus |
| title | Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures |
| title_full | Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures |
| title_fullStr | Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures |
| title_full_unstemmed | Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures |
| title_short | Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures |
| title_sort | scleral buckling for primary retinal detachment outcomes of scleral tunnels versus scleral sutures |
| topic | rhegmatogenous retinal detachment scleral buckle scleral suture scleral tunnels strabismus |
| url | https://doi.org/10.18502/jovr.v16i3.9434 |
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