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      Indications and outcomes of scleral buckle removal in a tertiary eye care center in South India

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          Abstract

          Purpose:

          To study the clinical profile of patients undergoing scleral buckle removal (SBR) surgery.

          Materials and Methods:

          All consecutive patients undergoing SBR surgery following scleral buckle for retinal detachment repair between January 2002 and December 2011 with a minimum postSBR follow-up of 6 months were included in this study. A record based on analysis of indications, methods, complications, and outcomes of the eyes was performed.

          Results:

          One hundred and two eyes of 101 patients (men = 77; 76.24% and women = 24; 23.76%) belonging to the age group of 15–78 years (mean 50 ± 15 years) were included in this study. Time gap between scleral buckle and SBR ranged from 2 to 216 months (mean 61 ± 51 months). Buckle exposure with clinical infection (81; 79.41%) was the most common indication. Of 90 (88.2%) eyes with positive culture, 75 (83.3%) revealed single and 15 (16.6%) revealed multiple microorganisms. Staphylococcus epidermidis (42; 41.2%), was the most common isolate. Fungus was isolated in 3 (2.94%) eyes. Globe perforation (14; 13.7%) and recurrent retinal detachment (7; 6.9%) were the commonest complications. Time gap between SBR and recurrent retinal detachment ranged from 15 days to 50 months (mean 12.2 ± 18.3 months).

          Conclusions:

          Most of the exposed scleral buckles developed clinical infection few months to years after surgery, ultimately requiring SBR. Recurrent retinal detachment after SBR may appear from few days to years later warranting a long-term follow-up.

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          Most cited references17

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          Trends in primary retinal detachment surgery: results of a Bicenter study.

          To assess trends and outcomes in retinal detachment (RD) surgery based on a retrospective, interventional, bicenter study.
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            Pars plana vitrectomy for primary rhegmatogenous retinal detachment

            Pars plana vitrectomy (PPV) is growing in popularity for the treatment of primary rhegmatogenous retinal detachment (RD). PPV achieves favorable anatomic and visual outcomes in a wide variety of patients, especially in pseudophakic RD. A growing number of clinical series, both retrospective and prospective, have demonstrated generally comparable outcomes comparing PPV and scleral buckling (SB) under a variety of circumstances. The Scleral Buckling Versus Primary Vitrectomy in Rhegmatogenous Retinal Detachment (SPR) study is a multicenter, randomized, prospective, controlled clinical trial comparing SB versus PPV. This study should provide useful guidelines in the future. At this time, the choice of SB versus PPV should be based on the characteristics of the RD, the patient as a whole, and the experience and preference of the individual retinal surgeon.
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              Scleral buckle removal: indications and outcomes.

              Irena Tsui (2012)
              Primary scleral buckling has been an effective means to reattach the retina for over 50 years. After surgery, complications may arise that require scleral buckle (SB) removal. The most common indications for SB removal are extrusion, infection, and pain. I review the pertinent literature in an effort to develop guidelines for when to remove a SB. Copyright © 2012 Elsevier Inc. All rights reserved.
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                Author and article information

                Journal
                Oman J Ophthalmol
                Oman J Ophthalmol
                OJO
                Oman Journal of Ophthalmology
                Medknow Publications & Media Pvt Ltd (India )
                0974-620X
                0974-7842
                Sep-Dec 2015
                : 8
                : 3
                : 171-174
                Affiliations
                [1]Shri Bhagwan Mahavir, Vitreoretina Services, Sankara Nethralaya, Chennai, Tamil Nadu, India
                [1 ]Vitreoretina Services, Aditya Birla Sankara Nethralaya, Kolkata, India
                Author notes
                Correspondence: Dr. Saurabh Kumar, Aditya Birla Sankara Nethralaya, 147, Mukundpur, E. M. Bypass, Kolkata, India. E-mail: vrfellow@ 123456gmail.com
                Article
                OJO-8-171
                10.4103/0974-620X.169891
                4738662
                26903723
                76849e22-3b61-4444-bcda-4523267fe898
                Copyright: © 2015 Oman Ophthalmic Society

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Categories
                Original Article

                Ophthalmology & Optometry
                buckle exposure,buckle infection,recurrent retinal detachment,scleral buckle

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