title: Combined scleral buckling and phacoemulsification.
abstract: OBJECTIVE
  To analyze the outcome of combined scleral buckling and phacoemulsification for primary rhegmatogenous retinal detachment and visually significant cataract.
  
  
  METHODS
  Retrospective, interventional case series.
  
  
  METHODS
  Retrospective review of patients with primary rhegmatogenous detachment with or without proliferative vitreoretinopathy (PVR) changes and visually significant cataract who underwent combined scleral buckling and phacoemulsification with or without intraocular lens (IOL) implantation between 1991 and 2006. Of the ten eyes, all underwent phacoemulsification and five eyes had posterior chamber Intraocular lens (PC IOL) implantation. All eyes underwent scleral buckling with solid silicone explant combined with #240 encircling band. Subretinal fluid (SRF) drainage was done in five eyes
  
  
  RESULTS
  Four eyes improved to better than 6/12 at a mean follow-up of 9 months. Anatomical success was achieved in all eyes (100%).
  
  
  CONCLUSIONS
  Combined scleral buckling and phacoemulsification is a safe and effective procedure that spares the patient the burden of repeated surgeries. It may be considered as a treatment option in selected cases of rhegmatogenous retinal detachment with significant cataract with/without early PVR.
authors.affiliation: Shri Bhagwan Mahavir Vitreo Retinal Services, Sankara Nethralaya, Chennai, India.
authors.forename: Pukhraj
authors.initials: P
authors.lastname: Rishi
authors.forename: Tarun
authors.initials: T
authors.lastname: Sharma
authors.forename: Ekta
authors.initials: E
authors.lastname: Rishi
authors.forename: Soumendra P
authors.initials: SP
authors.lastname: Chaudhary