Visual Recovery after Scleral Buckling Procedure for Retinal Detachment

Alberto Salicone, William E Smiddy, Anna Venkatraman, William J Feuer

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

Purpose: To evaluate prognostic factors for visual and anatomic outcomes, including complications after scleral buckling procedure (SBP) for primary rhegmatogenous retinal detachments. Design: Retrospective, consecutive, nonrandomized, comparative interventional case series. Participants: Patients undergoing SBP for primary rhegmatogenous retinal detachment performed by a single surgeon. Methods: The patients' medical records were reviewed. Preoperative and intraoperative factors analyzed for their association with visual acuity and anatomic outcomes included macular detachment, duration of macular detachment, preoperative visual acuity, lens status, refractive error, extent of detachment, number of breaks, internal gas tamponade, and drainage of the subretinal fluid. Secondary outcomes included frequency of further surgery, complications, and fellow eye retinal detachment. The fellow eye of the patients was excluded from consideration of prognostic factors. Main Outcome Measures: Best-corrected visual acuity at 2 months and at final follow-up examination as well as anatomic factors including retinal reattachment at 1 day, 2 months, and last follow-up examination. Results: There were 672 patients studied, including 457 (68%) with macular detachment. The use of gas, drainage of subretinal fluid, and lens status did not influence final anatomic or visual results. Macular detachment was the most important prognostic factor for anatomic (P = 0.031) and visual acuity success (P<0.001). Better preoperative visual acuity (P<0.001), fewer quadrants involved by the detachment (P<0.001), and lack of high myopia (P = 0.001) were important positive prognostic factors for visual acuity. The duration of macular detachment was not of prognostic value up to 30 days' duration. Conclusions: Visual recovery after retinal reattachment was most dependent on macular involvement. Duration of macular detachment had surprisingly little influence on postoperative visual acuity.

Original languageEnglish
Pages (from-to)1734-1742
Number of pages9
JournalOphthalmology
Volume113
Issue number10
DOIs
StatePublished - Oct 1 2006

Fingerprint

Scleral Buckling
Retinal Detachment
Visual Acuity
Subretinal Fluid
Lenses
Drainage
Gases
Refractive Errors
Myopia
Medical Records
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Visual Recovery after Scleral Buckling Procedure for Retinal Detachment. / Salicone, Alberto; Smiddy, William E; Venkatraman, Anna; Feuer, William J.

In: Ophthalmology, Vol. 113, No. 10, 01.10.2006, p. 1734-1742.

Research output: Contribution to journalArticle

Salicone, Alberto ; Smiddy, William E ; Venkatraman, Anna ; Feuer, William J. / Visual Recovery after Scleral Buckling Procedure for Retinal Detachment. In: Ophthalmology. 2006 ; Vol. 113, No. 10. pp. 1734-1742.
@article{63f4495cd22b433992de7e16457ea300,
title = "Visual Recovery after Scleral Buckling Procedure for Retinal Detachment",
abstract = "Purpose: To evaluate prognostic factors for visual and anatomic outcomes, including complications after scleral buckling procedure (SBP) for primary rhegmatogenous retinal detachments. Design: Retrospective, consecutive, nonrandomized, comparative interventional case series. Participants: Patients undergoing SBP for primary rhegmatogenous retinal detachment performed by a single surgeon. Methods: The patients' medical records were reviewed. Preoperative and intraoperative factors analyzed for their association with visual acuity and anatomic outcomes included macular detachment, duration of macular detachment, preoperative visual acuity, lens status, refractive error, extent of detachment, number of breaks, internal gas tamponade, and drainage of the subretinal fluid. Secondary outcomes included frequency of further surgery, complications, and fellow eye retinal detachment. The fellow eye of the patients was excluded from consideration of prognostic factors. Main Outcome Measures: Best-corrected visual acuity at 2 months and at final follow-up examination as well as anatomic factors including retinal reattachment at 1 day, 2 months, and last follow-up examination. Results: There were 672 patients studied, including 457 (68{\%}) with macular detachment. The use of gas, drainage of subretinal fluid, and lens status did not influence final anatomic or visual results. Macular detachment was the most important prognostic factor for anatomic (P = 0.031) and visual acuity success (P<0.001). Better preoperative visual acuity (P<0.001), fewer quadrants involved by the detachment (P<0.001), and lack of high myopia (P = 0.001) were important positive prognostic factors for visual acuity. The duration of macular detachment was not of prognostic value up to 30 days' duration. Conclusions: Visual recovery after retinal reattachment was most dependent on macular involvement. Duration of macular detachment had surprisingly little influence on postoperative visual acuity.",
author = "Alberto Salicone and Smiddy, {William E} and Anna Venkatraman and Feuer, {William J}",
year = "2006",
month = "10",
day = "1",
doi = "10.1016/j.ophtha.2006.03.064",
language = "English",
volume = "113",
pages = "1734--1742",
journal = "Ophthalmology",
issn = "0161-6420",
publisher = "Elsevier Inc.",
number = "10",

}

TY - JOUR

T1 - Visual Recovery after Scleral Buckling Procedure for Retinal Detachment

AU - Salicone, Alberto

AU - Smiddy, William E

AU - Venkatraman, Anna

AU - Feuer, William J

PY - 2006/10/1

Y1 - 2006/10/1

N2 - Purpose: To evaluate prognostic factors for visual and anatomic outcomes, including complications after scleral buckling procedure (SBP) for primary rhegmatogenous retinal detachments. Design: Retrospective, consecutive, nonrandomized, comparative interventional case series. Participants: Patients undergoing SBP for primary rhegmatogenous retinal detachment performed by a single surgeon. Methods: The patients' medical records were reviewed. Preoperative and intraoperative factors analyzed for their association with visual acuity and anatomic outcomes included macular detachment, duration of macular detachment, preoperative visual acuity, lens status, refractive error, extent of detachment, number of breaks, internal gas tamponade, and drainage of the subretinal fluid. Secondary outcomes included frequency of further surgery, complications, and fellow eye retinal detachment. The fellow eye of the patients was excluded from consideration of prognostic factors. Main Outcome Measures: Best-corrected visual acuity at 2 months and at final follow-up examination as well as anatomic factors including retinal reattachment at 1 day, 2 months, and last follow-up examination. Results: There were 672 patients studied, including 457 (68%) with macular detachment. The use of gas, drainage of subretinal fluid, and lens status did not influence final anatomic or visual results. Macular detachment was the most important prognostic factor for anatomic (P = 0.031) and visual acuity success (P<0.001). Better preoperative visual acuity (P<0.001), fewer quadrants involved by the detachment (P<0.001), and lack of high myopia (P = 0.001) were important positive prognostic factors for visual acuity. The duration of macular detachment was not of prognostic value up to 30 days' duration. Conclusions: Visual recovery after retinal reattachment was most dependent on macular involvement. Duration of macular detachment had surprisingly little influence on postoperative visual acuity.

AB - Purpose: To evaluate prognostic factors for visual and anatomic outcomes, including complications after scleral buckling procedure (SBP) for primary rhegmatogenous retinal detachments. Design: Retrospective, consecutive, nonrandomized, comparative interventional case series. Participants: Patients undergoing SBP for primary rhegmatogenous retinal detachment performed by a single surgeon. Methods: The patients' medical records were reviewed. Preoperative and intraoperative factors analyzed for their association with visual acuity and anatomic outcomes included macular detachment, duration of macular detachment, preoperative visual acuity, lens status, refractive error, extent of detachment, number of breaks, internal gas tamponade, and drainage of the subretinal fluid. Secondary outcomes included frequency of further surgery, complications, and fellow eye retinal detachment. The fellow eye of the patients was excluded from consideration of prognostic factors. Main Outcome Measures: Best-corrected visual acuity at 2 months and at final follow-up examination as well as anatomic factors including retinal reattachment at 1 day, 2 months, and last follow-up examination. Results: There were 672 patients studied, including 457 (68%) with macular detachment. The use of gas, drainage of subretinal fluid, and lens status did not influence final anatomic or visual results. Macular detachment was the most important prognostic factor for anatomic (P = 0.031) and visual acuity success (P<0.001). Better preoperative visual acuity (P<0.001), fewer quadrants involved by the detachment (P<0.001), and lack of high myopia (P = 0.001) were important positive prognostic factors for visual acuity. The duration of macular detachment was not of prognostic value up to 30 days' duration. Conclusions: Visual recovery after retinal reattachment was most dependent on macular involvement. Duration of macular detachment had surprisingly little influence on postoperative visual acuity.

UR - http://www.scopus.com/inward/record.url?scp=33748966286&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748966286&partnerID=8YFLogxK

U2 - 10.1016/j.ophtha.2006.03.064

DO - 10.1016/j.ophtha.2006.03.064

M3 - Article

C2 - 17011955

AN - SCOPUS:33748966286

VL - 113

SP - 1734

EP - 1742

JO - Ophthalmology

JF - Ophthalmology

SN - 0161-6420

IS - 10

ER -