Surgical Results of Scleral Buckling in Retinal Detachments with Subretinal Traction Band.

Park, Chan Soo; Chang, Woo Hyok; Cha, Soon Cheol; Park, Young Hoon

Original Article

Journal of the Korean Ophthalmological Society 2004;45(7):1092-1098.
Published online July 1, 2004.

Surgical Results of Scleral Buckling in Retinal Detachments with Subretinal Traction Band.

Chan Soo Park, Woo Hyok Chang, Soon Cheol Cha, Young Hoon Park

¹Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. sccha@med.yu.ac.kr
²Hemalgun Eye Center, Daegu, Korea.

망막하증식띠가 동반된 열공망막박리에서 공막돌륭술의 수술성적

박찬수 ( Chan Soo Park ) , 장우혁 ( Woo Hyok Chang ) , 차순철 ( Soon Cheol Cha ) , 박영훈 ( Young Hoon Park )

Abstract

PURPOSE
To evaluate the surgical results of scleral buckling procedure for rhegmatogenous retinal detachment with subretinal traction bands (SRTB). METHODS: We analyzed the medical records of 25 patients who had undergone only scleral buckling procedures for retinal detachment with SRTB with a minimum follow-up period of 6 months. RESULTS: Mean patient age was 33.7 years (16~80 years) and mean follow-up period was 15.8 months (6~35 months). Successful anatomic reattachment was achieved in 21 eyes (84%), and postoperative visual acuity improved in 12 eyes (48.0%). As for complications, surgical failure of the primary surgery occurred in 4 eyes (16%), temporary elevation of intraocular pressure in 3 eyes (12%), exposure of silicone sponge in 1 eye (4%), and progression of cataract in 1 eye (4%). The causes of primary failure were remaining subretinal fluid in 3 eyes and proliferative vitreoretinopathy in 1 eye. CONCLUSIONS: Scleral buckling procedure is recommended as one of the surgical methods in the management of retinal detachments with SRTB in selected cases.

Key Words: Retinal detachment;Scleral buckling procedures;Subretinal traction band