Nisar Ahmed Siyal, Shahid Azim Mirza, Arif Memon, Tahir Arbab, Sikandar Azim Mirza.
Out come of scleral buckling procedure, and experience with rhegmatogenous retinal detachment patients.
Pak J Surg Jan ;28(4):276-9.

Background: Rhegmatogenous retinal detachment (RRD) is most common type of retinal detachment, secondary to break in neuro-sensory layer of the retina. Objective: To determine anatomical and functional improvement in patients with RRD, treated by scleral buckling procedure (SBP). Patients and Methods: Th e retrospective study was done on 205 eyes of 203 patients, operated from January 2006 to September 2011. Out of which 162 (79.02%) were Male and 43 (20.97%) were female. Th e mean age of the patients was 40 ±18.62 years (range, 5-82). Operated outcomes were fi nal Visual Outcome, Post Operative IOP and Status of Retina. Th e collected data was analyzed was on SPSS 17.0 and the p value less than 0.05 was considered as signifi cant. Results: 205 eyes of 203 patients were analyzed, who were followed up 3 to 6 years on average (range, 1-10 years). Visual improvement in 165 (80.48%) patients, no visual improvement in 30 (14.63%) patients and 10 (4.87%) patients drop in pre existing visual acuity, per operative complications iatrogenic break, choroidal hemmorrhage total 8 (3.90%) cases and 3 (1.46%) cases plomb exposure out of this 01 (0.48%) patient develop endophthalmitis, postoperatively retinal detachment encountered 15 (7.31%) cases cause of RD is missed hole which was dealt successfully. Pre and post-operative Visual acuity was transformed to LogMAR Visual Acuity for analysis. Pre Operatively the average visual acuity of the patients was 1.68±1.157. Post operatively the visual acuity was 0.65±0.641, 80% of the patients had a bett er visual acuity postoperatively. Th e diff erence between preoperative and postoperative visual acuity was statistically highly signifi cant (p=0.000). Comparison between the pre operative and post operative visual acuity is presented. Conclusion: Scleral Buckling procedure is useful in the repair of primary rhegmatogenous retinal detachment. Th ese patients should have primary, uncomplicated rhegmatogenous retinal detachments and preferably should be Phakic, bett er visual outcome could have been achieved by recording best corrected visual acuity and more prolonged follow up.

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