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Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

Although the technique of pars plana vitrectomy (PPV) develops rapidly, scleral buckling (SB) has several advantages over PPV for rhegmatogenous retinal detachment (RRD), including early visual rehabilitation and prevention of cataract progression. It is recommended to select the primary procedure f...

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Autores principales: Park, Sung Who, Lee, Jae Jung, Lee, Ji Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124476/
https://www.ncbi.nlm.nih.gov/pubmed/30214145
http://dx.doi.org/10.2147/OPTH.S153717
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author Park, Sung Who
Lee, Jae Jung
Lee, Ji Eun
author_facet Park, Sung Who
Lee, Jae Jung
Lee, Ji Eun
author_sort Park, Sung Who
collection PubMed
description Although the technique of pars plana vitrectomy (PPV) develops rapidly, scleral buckling (SB) has several advantages over PPV for rhegmatogenous retinal detachment (RRD), including early visual rehabilitation and prevention of cataract progression. It is recommended to select the primary procedure for RRD by considering the advantages and disadvantages of each procedure based on the patient status. The vitreous body status affects the features of RRD. Vitreous liquefaction is an age-dependent process, resulting in the development of posterior vitreous detachment (PVD). RRD is usually associated with PVD, typically presenting with a retinal tear, strong vitreoretinal traction, and bullous detachment. In contrast, RRD may develop without PVD, and typically presents with a small atrophic hole, shallow detachment, and slow progression. RRD with less liquefied vitreous and no PVD can be managed successfully with SB alone even in the presence of subretinal strand as less liquefied vitreous acts as bio-tamponade blocking fluid passage. The strong traction induced by PVD and bullous detachment in an eye with extensively liquefied vitreous reduces the success rate of SB. PPV is gaining popularity as the primary procedure for RRD, especially in eyes with retinal tears, PVD, or pseudophakia. Nevertheless, SB remains the preferred procedure in young phakic patients without PVD.
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spelling pubmed-61244762018-09-13 Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives Park, Sung Who Lee, Jae Jung Lee, Ji Eun Clin Ophthalmol Review Although the technique of pars plana vitrectomy (PPV) develops rapidly, scleral buckling (SB) has several advantages over PPV for rhegmatogenous retinal detachment (RRD), including early visual rehabilitation and prevention of cataract progression. It is recommended to select the primary procedure for RRD by considering the advantages and disadvantages of each procedure based on the patient status. The vitreous body status affects the features of RRD. Vitreous liquefaction is an age-dependent process, resulting in the development of posterior vitreous detachment (PVD). RRD is usually associated with PVD, typically presenting with a retinal tear, strong vitreoretinal traction, and bullous detachment. In contrast, RRD may develop without PVD, and typically presents with a small atrophic hole, shallow detachment, and slow progression. RRD with less liquefied vitreous and no PVD can be managed successfully with SB alone even in the presence of subretinal strand as less liquefied vitreous acts as bio-tamponade blocking fluid passage. The strong traction induced by PVD and bullous detachment in an eye with extensively liquefied vitreous reduces the success rate of SB. PPV is gaining popularity as the primary procedure for RRD, especially in eyes with retinal tears, PVD, or pseudophakia. Nevertheless, SB remains the preferred procedure in young phakic patients without PVD. Dove Medical Press 2018-08-30 /pmc/articles/PMC6124476/ /pubmed/30214145 http://dx.doi.org/10.2147/OPTH.S153717 Text en © 2018 Park et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Park, Sung Who
Lee, Jae Jung
Lee, Ji Eun
Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_full Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_fullStr Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_full_unstemmed Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_short Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_sort scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124476/
https://www.ncbi.nlm.nih.gov/pubmed/30214145
http://dx.doi.org/10.2147/OPTH.S153717
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