title: Outcomes of scleral buckle removal with and without concurrent prophylactic laser retinopexy.
abstract: OBJECTIVE
  To present the outcomes of scleral buckle (SB) removal with and without concurrent prophylactic laser retinopexy.
  
  
  METHODS
  Retrospective, interventional case series.
  
  
  METHODS
  Eighty-seven eyes of 87 patients who had SB removal after primary rhegmatogenous retinal detachment repair.
  
  
  METHODS
  All patients who had SB removal after primary rhegmatogenous retinal detachment repair from both Wills Eye Institute and University of Alberta from 2000 to 2011 were identified. All patients had a minimum of 6 months of follow-up.
  
  
  RESULTS
  Eighty-seven patients met the study criteria. Primary indications for SB removal were extrusion (76%, n = 66), diplopia (8%, n = 7), infection (6%, n = 5), a combination of extrusion and infection (6%, n = 5), and others (5%, n = 4). Only 3 of 87 eyes (3.4%) developed a recurrent retinal detachment after SB removal. Only 1 eye (2.2%) from the group that received laser retinopexy (n = 45) at the time of SB removal had a retinal redetachment, whereas 2 eyes (4.2%) in the group that did not receive laser (n = 42) had a recurrent retinal detachment (p = 0.61).
  
  
  CONCLUSIONS
  The overall rate of recurrent retinal detachment after SB removal was low. No significant difference in recurrent retinal detachment was found between the eyes that received prophylactic laser retinopexy compared with those that did not at the time of SB removal.
authors: Department of Ophthalmology, University of Alberta, Edmonton, Alta.
authors: Mahta
authors: M
authors: Rasouli
authors: Retina Service of Wills Eye Institute, Philadelphia.
authors: Mohammed
authors: M
authors: Khuthaila
authors: Retina Service of Wills Eye Institute, Philadelphia; Mid Atlantic Retina, Plymouth Meeting, Penn.
authors: Marc J
authors: MJ
authors: Spirn
authors: Retina Service of Wills Eye Institute, Philadelphia; Mid Atlantic Retina, Plymouth Meeting, Penn.
authors: Sunir J
authors: SJ
authors: Garg
authors: Department of Ophthalmology, University of Alberta, Edmonton, Alta.
authors: Mark D J
authors: MD
authors: Greve
authors: Retina Service of Wills Eye Institute, Philadelphia; Mid Atlantic Retina, Plymouth Meeting, Penn.. Electronic address: jhsu@midatlanticretina.com.
authors: Jason
authors: J
authors: Hsu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D020878:Device Removal; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012163:Retinal Detachment / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000295:instrumentation; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult