Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures.

Autor:	Starr MR; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA., Ryan EH; VitreoRetinal Surgery, Minneapolis, MN, USA., Obeid A; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA., Ryan C; VitreoRetinal Surgery, Minneapolis, MN, USA., Gao X; VitreoRetinal Surgery, Minneapolis, MN, USA., Madhava ML; VitreoRetinal Surgery, Minneapolis, MN, USA., Maloney SM; VitreoRetinal Surgery, Minneapolis, MN, USA., Adika AZ; Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA., Peddada KV; Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, USA., Sioufi K; VitreoRetinal Surgery, Minneapolis, MN, USA., Patel LG; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA., Ammar MJ; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA., Forbes NJ; VitreoRetinal Surgery, Minneapolis, MN, USA., Capone A Jr; Associated Retinal Consultants, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA., Emerson GG; The Retina Center, Minneapolis, MN, USA., Joseph DP; The Retina Institute, St. Louis, MO, USA., Eliott D; Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA., Regillo CD; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA., Hsu J; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA., Gupta OP; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA., Yonekawa Y; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA., Study Group FTPRDOP; Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, 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.; 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.
Jazyk:	angličtina
Zdroj:	Journal of ophthalmic & vision research [J Ophthalmic Vis Res] 2021 Jul 29; Vol. 16 (3), pp. 377-383. Date of Electronic Publication: 2021 Jul 29 (Print Publication: 2021).
DOI:	10.18502/jovr.v16i3.9434
Abstrakt:	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. Competing Interests: Consultant for Alcon (DE, OG, YY), Grant support from Alcon (AC), Royalties from Alcon (EHR), Stockholder in Aldeyra Therapeutics (DE), Consultant for Dutch Ophthalmic (DE), Scientific Advisory Board for Pykus Therapeutics (DE), Stockholder in Valiant and Glaukos (GGE). (Copyright © 2021 Starr et al.)
Databáze:	MEDLINE
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