10-year follow-up of visual functions in patients who underwent scleral buckling.
OBJECTIVE
To study long-term visual functions in eyes that underwent scleral buckling for treatment of rhegmatogenous retinal detachment.


METHODS
We retrospectively studied a nonconsecutive case series of 205 eyes with retinal detachment that underwent scleral buckling and were followed up for 10 years after surgery. Preoperatively, postoperatively, and 10 years after surgery, best-corrected visual acuities and visual fields were recorded.


RESULTS
During the first postoperative year and during the next 9 years, there were significant increases in visual acuity (P<0.0001 and P<0.0001, respectively). Between the operation and 1 month postoperatively, there was a significant increase in the area size of visual field measured by Goldmann perimetry (V-4 isopter, P=0.0001; I-4 isopter, P=0.0001). Between 1 month and 10 years after surgery, there was no significant change of the area size of each isopter (V-4, P=0.786; I-4, P=0.211).


CONCLUSIONS
Improvement in visual acuity after scleral buckling is possible over a long period. There may be a limit to long-term improvement of visual field after scleral buckling.
Sasoh
Mikio
M
Department of Ophthalmology, Mie University School of Medicine, Tsu Mie, Japan. sasoh@clin.medic.mie-u.ac.jp
Ito
Yoshikazu
Y
Wakitani
Yoshikatsu
Y
Matsubara
Hisashi
H
Matsunaga
Koich
K
Uji
Yukitaka
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000503:physiopathology* / Q000601:surgery; D012189:Retrospective Studies; D012591:Scleral Buckling; D014792:Visual Acuity / Q000502:physiology*; D058609:Visual Field Tests; D014794:Visual Fields / Q000502:physiology*