SCLERAL BUCKLING TECHNIQUE WITHOUT RETINOPEXY FOR TREATMENT OF RHEGMATOGENOUS RETINAL DETACHMENT
| Autor: | Maria T. Alvarez, Sandro Sbordone, Antonio Romano, Michelle Della Corte, Marta S. Figueroa, Simón J. Villalba, Alessandro Schirru |
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| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
Proliferative vitreoretinopathy Visual acuity genetic structures medicine.diagnostic_test business.industry medicine.medical_treatment Retinal detachment Cryotherapy Retinal General Medicine medicine.disease law.invention Ophthalmology chemistry.chemical_compound chemistry Randomized controlled trial law Paracentesis Medicine medicine.symptom business Scleral buckling |
| Zdroj: | Retina. 22:288-293 |
| ISSN: | 0275-004X |
| DOI: | 10.1097/00006982-200206000-00006 |
| Popis: | PURPOSE To evaluate the role of retinopexy in the surgical management of primary rhegmatogenous retinal detachment (RD) without proliferative vitreoretinopathy. The primary outcome was retinal attachment, and secondary outcomes were visual acuity results and complications. METHODS A randomized controlled trial including 60 patients with RD caused by a break or a group of breaks no larger than one clock hour. Thirty eyes received no retinopexy (group 1), and 30 eyes received transscleral cryotherapy (group 2). An encircling buckle was placed in all eyes. In eyes with posterior breaks, segmental buckles were also added. In some eyes, subretinal fluid drainage or anterior chamber paracentesis and/or intravitreal air bubble injection was performed. RESULTS No differences were found between the groups in terms of the preoperative clinical variables evaluated: age; sex; axial length; lens status; type, number, and location of breaks; extension of detachment; and macula status. There were no differences in the surgical procedures performed. The reattachment rate in group 1 was 90%, and in group 2, it was 87% (a difference that was not significant [P = 1.00]). Final visual acuity improved by two lines or more in 22 patients in group 1 and in 20 patients in group 2 (P = 0.317). CONCLUSIONS Our results indicate that primary rhegmatogenous RD can be successfully treated with scleral buckling without retinopexy. |
| Databáze: | OpenAIRE |
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