Scleral buckling procedure for retinal detachments secondary to proliferative diabetic retinopathy.
Ninety-two patients (99 eyes) underwent scleral buckling procedures for retinal detachment associated with proliferative diabetic retinopathy. Fifty-three procedures were for rhegmatogenous retinal detachment and 46 for tractional retinal detachment. The average follow-up period was 38 months. Anatomic success was assessed in terms of closure of retinal breaks (59/69, 86%), macular reattachment (42/90, 46%), and reduction in extent of retinal detachment postoperatively as compared to preoperatively (62/99, 63%). The visual acuity was better postoperatively in 33/99 (34%) of the eyes; 58/99 (58%) of the eyes maintained finger counting visual acuity. Improvement in visual acuity was more frequent in eyes with rhegmatogenous detachment (23/53, 43%) than in those with traction detachment (10/46, 22%). Although improvement is generally limited, some patients are markedly benefitted by scleral buckling procedures.
D000293:Adolescent; D000328:Adult; D002386:Cataract / Q000150:complications; D048909:Diabetes Complications; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012590:Sclera / Q000601:surgery; D012591:Scleral Buckling / Q000379:methods*; D014792:Visual Acuity