CLINICAL FEATURES AND SURGICAL OUTCOMES OF SCLERAL BUCKLE SURGERY FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT: MOORFIELDS BUCKLE STUDY.

Muqit, Mahiul Mk; Macri, Carmelo; Chan, Weng Onn; Elnaggar, Mohamed; Casswell, Edward J; Ng, James; Yang, Elizabeth; Katta, Mohamed; Anguita, Rodrigo (2024). CLINICAL FEATURES AND SURGICAL OUTCOMES OF SCLERAL BUCKLE SURGERY FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT: MOORFIELDS BUCKLE STUDY. Retina, 44(7), pp. 1134-1141. Wolters Kluwer 10.1097/IAE.0000000000004082

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PURPOSE

Long-term study to evaluate the clinical and surgical outcomes of SB surgery for primary rhegmatogenous retinal detachment (RRD) at a large tertiary eye center.

METHODS

Non-comparative, retrospective case series of 589 eyes of 569 patients with primary RRD who underwent SB surgery between 2004 and 2022 with median follow-up of 6 months. Main outcome measures were best-corrected visual acuity (BCVA), surgical outcomes, complications, and classification of RRD.

RESULTS

At baseline, 447/589 (76.1%), round hole-RRD and 133/589 (22.7%) retinal dialysis-RRD. Overall primary SB success rate was 83.7% for all RD subtypes, with round hole-RD 84.8% and dialysis-RRD 81.2%. Overall, Baseline BCVA was logMAR 0.42 and final logMAR 0.26 (p<0.0001). In macula-OFF RRD, the BCVA significantly improved from 0.79 to 0.48 logMAR (p<0.0001). Macula-ON RRD patients improved from 0.19 to 0.12 logMAR (p=0.014). Binary logistic regression showed registrar surgeon grade (OR 0.09,95% CI 0.01- 0.55), and partial or complete PVD (OR 0.21,95% CI 0.10 - 0.49) associated with reduced odds of primary success. Higher surgical failure associated with low pre-fellowship SB surgeon experience (p=0.024).

CONCLUSION

We report favourable visual and functional outcomes in a large series of SB for primary retinal detachment, mainly for round hole and retinal dialysis RRD patients.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology

UniBE Contributor:

Anguita Henríquez, Rodrigo Andrés

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1539-2864

Publisher:

Wolters Kluwer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

06 Mar 2024 11:11

Last Modified:

22 Jun 2024 00:13

Publisher DOI:

10.1097/IAE.0000000000004082

PubMed ID:

38437825

BORIS DOI:

10.48350/193788

URI:

https://boris.unibe.ch/id/eprint/193788

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