PRIMARY SCLERAL BUCKLING FOR PEDIATRIC RHEGMATOGENOUS RETINAL DETACHMENT

Retina
Marie-Hélène ErreraEric Ezra

Abstract

To evaluate the anatomical outcomes of primary scleral buckling (SB) procedures for pediatric rhegmatogenous retinal detachments. Retrospective consecutive case series. One hundred and four eyes of 99 consecutive nonselected pediatric patients undergoing primary SB were identified. Baseline factors recorded were demographics, presenting clinical examination findings, previous ocular surgery, predisposing factors. Intraoperative factors recorded were the type of buckle, number and distribution of retinal breaks, number of retinal quadrants detached, macular status (involved vs. uninvolved), the use of subretinal fluid drainage, and surgical complications. Anatomical reattachment rate at last follow-up. Subgroup analysis was carried out to identify any predisposing factors for failure of primary surgery, effect of age on outcome, intraoperative pathology, effect of posterior versus anterior SB, and redetachment and secondary-procedure complications specific to SB. The initial surgery was segmental SB alone in 87 eyes (83.6%). Retinal reattachment was achieved with 1 operation in 73% (76 of 104 eyes). Of the 28 cases that redetached, 14 eyes underwent a repeat SB procedure (success rate of this second operation: 85.7% [12 of 14 ey...Continue Reading

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Citations

Nov 18, 2016·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·David WongDavid H W Steel
Aug 17, 2018·Ophthalmic Surgery, Lasers & Imaging Retina·Yoshihiro Yonekawa, Howard F Fine
Jun 25, 2020·International Ophthalmology Clinics·Kinley D BeckC Armitage Harper
Aug 26, 2017·Journal of Ophthalmology·Robert RejdakKatarzyna Nowomiejska
Apr 12, 2021·International Ophthalmology·Mario Carranza-CasasFederico Graue-Wiechers

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