title: Scleral buckle surgery for pseudophakic and aphakic retinal detachment in western Nepal.
abstract: BACKGROUND
  Retinal detachment remains one of the most serious complications of cataract surgery. Treatment of this condition has represented a challenge for vitreoretinal surgeons.Scleral buckle (SB) surgery is one of the treatment options in pseudophakic and aphakic retinal detachment (RD).
  
  
  OBJECTIVE
  To find out the anatomical and visual outcome of SB in pseudophakic and aphakic RD.
  
  
  METHODS
  Retrospective case series of 46 consecutive eyes of 46 patients with RD (38 pseudophakic and 8 aphakic eyes) that had undergone conventional SB surgery were reviewed from patient files. Postoperative retinal status at 3 weeks, 6 weeks and 3 months were recorded to see the anatomical success rate after retinal reattachment surgery. Best corrected visual acuity (BCVA) at 3 months follow-up was noted.
  
  
  RESULTS
  The mean age of the patients was 54.28 ± 13.49 years. Forty eyes (86.9 %) had primary attachment by 6 weeks duration. Five eyes had undergone repeat surgery within a six-week duration (pars plana vitrectomy). Forty patients had follow-up visit to 12 weeks, achieving retinal attachment in 37 eyes (80.5 %). Best corrected visual acuity (BCVA) at 3 months was better than 6/60 in 18 eyes (39.1%), BCVA better or equal to 1/60 but less than 6/60 in 18 eyes (39.1%) and BCVA less than 1/60 in 4 eyes (8.7 %).
  
  
  CONCLUSIONS
  Conventional scleral buckling has good outcome for pseudophakic and aphakic RD and can be useful for patients in peripheral eye hospitals where patients cannot afford high cost surgeries.
authors.affiliation: Lumbini Eye Institute, Bhairahawa, Nepal. raguhunandanbyanju@gmail.com
authors.forename: R N
authors.initials: RN
authors.lastname: Byanju
authors.forename: S
authors.initials: S
authors.lastname: Bajimaya
authors.forename: I
authors.initials: I
authors.lastname: Kansakar
authors.forename: A
authors.initials: A
authors.lastname: Melamud
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001035:Aphakia / Q000601:surgery*; D002386:Cataract; D002387:Cataract Extraction / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal; D019591:Pseudophakia / Q000601:surgery*; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult