title: The outcomes of primary scleral buckling during repair of posterior segment open-globe injuries.
abstract: OBJECTIVE
  To compare visual outcomes of eyes which underwent primary scleral buckling (PSB) treatment during posterior segment open-globe injury (OGI) repair with eyes not treated with PSB.
  
  
  METHODS
  We retrospectively reviewed 38 eyes which underwent a posterior segment OGI repair with no preoperative evidence of retinal detachment (RD) at Soroka University Medical Center (1995-2010). 19 (50%) underwent scleral repair alone (control group) and the other 19 eyes were treated with PSB also (PSB group). We compared visual outcomes in these two groups and rates of subsequent postoperative complications.
  
  
  RESULTS
  Baseline characteristics of the groups were similar. Compared with the control group, the PSB group had statistically significant lower rates of proliferative vitreoretinopathy (PVR) (5.3% versus 38.4%, P < 0.05) and a trend towards lower rates of RD (15.8% versus 41.1%, P = 0.1). PSB group eyes had a statistically significant improvement of their best distance visual acuity (BDVA) with lower means of final BDVA-grade (P < 0.05) and logMAR vision (P < 0.05). Eyes in the control group had no improvement in these parameters.
  
  
  CONCLUSIONS
  PSB procedure during posterior segment OGI repair may decrease the risk of subsequent retinal complications and improve final visual outcome.
authors: Joyce and Irving Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, 84101 Be'er-Sheva, Israel.
authors: Dan
authors: D
authors: Cohen
authors: Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101 Be'er-Sheva, Israel.
authors: Jaime
authors: 0000-0001-9653-6974
authors: J
authors: Levy
authors: Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101 Be'er-Sheva, Israel.
authors: Tova
authors: T
authors: Lifshitz
authors: Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101 Be'er-Sheva, Israel.
authors: Nadav
authors: N
authors: Belfair
authors: Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101 Be'er-Sheva, Israel.
authors: Itamar
authors: I
authors: Klemperer
authors: Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101 Be'er-Sheva, Israel.
authors: Noam
authors: N
authors: Yanculovich
authors: Department of Ophthalmology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 151, 84101 Be'er-Sheva, Israel.
authors: Boris
authors: 0000-0002-9246-3226
authors: B
authors: Knyazer
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D003710:Demography; D005260:Female; D006801:Humans; D008297:Male; D057972:Posterior Eye Segment / Q000293:injuries* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D012591:Scleral Buckling; D016896:Treatment Outcome; D014792:Visual Acuity; D014945:Wound Healing