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Non-drainage scleral buckling with solid silicone elements

BACKGROUND: With the increasing number of cataract surgeries, incidence of posterior segment complications including rhegmatogenous retinal detachment (RRD) is likely to rise. Scleral buckling (SB) surgery is an effective and less expensive option. The primary advantage of non-drainage procedure is...

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Autores principales: Rishi, Pukhraj, Rishi, Ekta, Gupta, Aditi, Mathew, Cheriyan Shane, Shah, Bhavesh J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134546/
https://www.ncbi.nlm.nih.gov/pubmed/25136227
http://dx.doi.org/10.4103/0974-620X.137138
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author Rishi, Pukhraj
Rishi, Ekta
Gupta, Aditi
Mathew, Cheriyan Shane
Shah, Bhavesh J.
author_facet Rishi, Pukhraj
Rishi, Ekta
Gupta, Aditi
Mathew, Cheriyan Shane
Shah, Bhavesh J.
author_sort Rishi, Pukhraj
collection PubMed
description BACKGROUND: With the increasing number of cataract surgeries, incidence of posterior segment complications including rhegmatogenous retinal detachment (RRD) is likely to rise. Scleral buckling (SB) surgery is an effective and less expensive option. The primary advantage of non-drainage procedure is avoidance of possible complications associated with trans-choroidal drainage. The aim of present study is to describe the clinical profile of subjects undergoing non-drainage SB surgery with solid silicone elements for RRD and analyze their treatment outcomes. MATERIALS AND METHODS: This was a retrospective, non-randomized, interventional study at a tertiary care center. Three hundred and six eyes of 298 patients undergoing non-drainage SB surgery with solid silicone elements from year 2000 to 2006 were included. Inclusion criteria were primary RRD, peripheral depressible retinal break, media clarity affording peripheral retinal view and proliferative vitreo-retinopathy (PVR) up to grade C2. Uni- and multivariate analyses was done to analyze factors affecting anatomical and visual outcomes. Statistical analysis was performed using SPSS Version 10. RESULTS: Mean follow-up was 303 ± 393.33 days. Primary anatomical success was obtained in 279 (91.2%) eyes; primary functional success in 286 (93.5%) eyes. PVR (grade B or C), intraocular pressure <10 mm Hg and the inability to find a retinal break were significantly associated with final anatomical failure. Baseline vision ≤3/60 was significantly associated with poor visual recovery. CONCLUSIONS: SB surgery is reasonably safe and highly efficacious. Solid silicone elements are effective in non-drainage SB surgery. However, case selection is important.
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spelling pubmed-41345462014-08-18 Non-drainage scleral buckling with solid silicone elements Rishi, Pukhraj Rishi, Ekta Gupta, Aditi Mathew, Cheriyan Shane Shah, Bhavesh J. Oman J Ophthalmol Original Article BACKGROUND: With the increasing number of cataract surgeries, incidence of posterior segment complications including rhegmatogenous retinal detachment (RRD) is likely to rise. Scleral buckling (SB) surgery is an effective and less expensive option. The primary advantage of non-drainage procedure is avoidance of possible complications associated with trans-choroidal drainage. The aim of present study is to describe the clinical profile of subjects undergoing non-drainage SB surgery with solid silicone elements for RRD and analyze their treatment outcomes. MATERIALS AND METHODS: This was a retrospective, non-randomized, interventional study at a tertiary care center. Three hundred and six eyes of 298 patients undergoing non-drainage SB surgery with solid silicone elements from year 2000 to 2006 were included. Inclusion criteria were primary RRD, peripheral depressible retinal break, media clarity affording peripheral retinal view and proliferative vitreo-retinopathy (PVR) up to grade C2. Uni- and multivariate analyses was done to analyze factors affecting anatomical and visual outcomes. Statistical analysis was performed using SPSS Version 10. RESULTS: Mean follow-up was 303 ± 393.33 days. Primary anatomical success was obtained in 279 (91.2%) eyes; primary functional success in 286 (93.5%) eyes. PVR (grade B or C), intraocular pressure <10 mm Hg and the inability to find a retinal break were significantly associated with final anatomical failure. Baseline vision ≤3/60 was significantly associated with poor visual recovery. CONCLUSIONS: SB surgery is reasonably safe and highly efficacious. Solid silicone elements are effective in non-drainage SB surgery. However, case selection is important. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4134546/ /pubmed/25136227 http://dx.doi.org/10.4103/0974-620X.137138 Text en Copyright: © 2014 Rishi P et al http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Original Article
Rishi, Pukhraj
Rishi, Ekta
Gupta, Aditi
Mathew, Cheriyan Shane
Shah, Bhavesh J.
Non-drainage scleral buckling with solid silicone elements
title Non-drainage scleral buckling with solid silicone elements
title_full Non-drainage scleral buckling with solid silicone elements
title_fullStr Non-drainage scleral buckling with solid silicone elements
title_full_unstemmed Non-drainage scleral buckling with solid silicone elements
title_short Non-drainage scleral buckling with solid silicone elements
title_sort non-drainage scleral buckling with solid silicone elements
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134546/
https://www.ncbi.nlm.nih.gov/pubmed/25136227
http://dx.doi.org/10.4103/0974-620X.137138
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