Retinal Detachment Due to Retinal Dialysis: Surgical Outcome After Scleral Buckling

Asia Pac J Ophthalmol (Phila). 2015 Sep-Oct;4(5):259-62. doi: 10.1097/APO.0000000000000084.


Purpose: The aim of this study was to determine the efficacy and safety of scleral buckling surgery in retinal detachment due to retinal dialysis.

Design: This study was a prospective, interventional case series.

Methods: A total of 48 eyes of 48 consecutive patients were included after obtaining informed written consent. Besides taking a thorough history, all eyes were examined by a retinal surgeon. The macula status, site, and extent of retinal dialysis and rhegmatogenous retinal detachment (RRD) were particularly noted. Proliferative vitreoretinopathy grading was done. Buckling was performed by a single surgeon. At every follow-up, visual acuity, intraocular pressure, retina status, and buckle position were noted. Any complication found was recorded. Follow-up was done for at least 6 months. SPSS version 16 was used for data analysis.

Results: We included 48 cases of RRD due to retinal dialysis. The mean ± SD age of the patients was 26.85 ± 15.1 years. The macula was detached in 85.4% of the cases, and proliferative vitreoretinopathy grade C was found in 25% of the cases. A surgical reattachment rate of 95.8% was attained after a single primary buckling procedure. Final Snellen best-corrected visual acuity of 6/18 or better was attained in 12.5% of the cases. However, 62.5% of the cases had best-corrected visual acuity in the range of 6/24 to 6/60. Subretinal hemorrhage occurred in 8.3% of cases intraoperatively after subretinal fluid drainage.

Conclusions: We conclude that scleral buckling has a definite role in the management of RRD due to retinal dialysis.

MeSH terms

  • Adolescent
  • Adult
  • Endotamponade
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Retinal Detachment / etiology
  • Retinal Detachment / surgery*
  • Retinal Perforations / complications
  • Retinal Perforations / surgery*
  • Scleral Buckling*
  • Visual Acuity / physiology
  • Vitrectomy
  • Young Adult