학술논문

Scleral Buckle Removal: Indications, Timing, Complications, and Long-Term Outcomes
Document Type
Academic Journal
Source
Ophthalmic Surgery, Lasers, and Imaging Retina. March, 2021, Vol. 52 Issue 3, p138, 7 p.
Subject
Povidone -- Complications and side effects
Infection -- Complications and side effects
Hypertension -- Complications and side effects
Language
English
ISSN
2325-8160
Abstract
BACKGROUND AND OBJECTIVE: To report indications, timing, complications, and outcomes of scleral buckle (SB) removal surgery. PATIENTS AND METHODS: Retrospective observational case series. Eyes that underwent SB removal between 2010 and 2016 with greater than 1 year of follow-up were included. Main outcome measures were post-SB removal complications and best-corrected visual acuity (BCVA). RESULTS: Fifty eyes that underwent SB removal met the inclusion criteria. Indications include exposed SB (54%), infection (26%), diplopia (16%), and recurrent retinal detachment (4%). Mean and median intervals between SB placement and removal were 65 months and 30 months. Complications include recurrent retinal detachment (12%), transient ocular hypertension (6%), and persistent diplopia (4%). There was no significant change in mean BCVA after SB removal (P =.979). CONCLUSIONS: Exposed SB, infection, and diplopia are the most common indications for SB removal. The single-surgery success rate is high and the risk for complications is relatively low. [Ophthalmic Surg Lasers Imaging Retina. 2021;52:138–144.]
Introduction Scleral buckle (SB) surgery was introduced in the 1940s and very soon became the standard surgical technique to repair rhegmatogenous retinal detachment (RD). (1) Although pars plana vitrectomy (PPV) [...]