title: [Scleral buckling for inferior rhegmatogenous retinal detachments].
abstract: OBJECTIVE
  To investigate the epidemiological, clinical, therapeutic and prognostic factors in cases of inferior rhegmatogenous retinal detachments (RD) treated by scleral buckling surgery.
  
  
  METHODS
  A retrospective chart review was performed on 45 patients (45 eyes) with inferior RD with only inferior tears (4:00-8:00), who had been treated by scleral buckling surgery over a 6-year period from 2006 to 2011. The parameters studied included patient demographics, refractive status, time until consultation, clinical exam data, treatment modalities and functional and anatomic results.
  
  
  RESULTS
  Forty-five cases were included in this study (45 eyes), with an average patient age of 44.5 years (14 to 75 years) and a slight male predominance (56%). Myopia was observed in 60%. Mean time until consultation was 3.5 months. Visual acuity on admission was less than 1/10 in 53.33%. Macular detachment was found in 80%. Causative lesions were holes in 26 eyes. Proliferative vitreoretinopathy was essentially stage B in 48.9%. Scleral buckling surgery was performed in all patients, with drainage of subretinal fluid in 37.8%. Retinal reattachment was obtained in 36 eyes (80%) with a final visual acuity greater than or equal to 1/10 in 71.11%. The mean follow-up in our study was 6.62 months.
  
  
  CONCLUSIONS
  Inferior retinal detachment has a predilection for young myopes. The time until consultation is often long, and extraocular surgery, although difficult, exhibits documented efficacy.
authors.affiliation: Service d'ophtalmologie, hôpital Omar Drissi, CHU Hassan II, Batha, 30000 Fès, Maroc. Electronic address: mari2082002@yahoo.fr.
authors.forename: M
authors.initials: M
authors.lastname: Abdellaoui
authors.affiliation: Service d'ophtalmologie, hôpital Omar Drissi, CHU Hassan II, Batha, 30000 Fès, Maroc.
authors.forename: F
authors.initials: F
authors.lastname: Chraibi
authors.affiliation: Service d'ophtalmologie, hôpital Omar Drissi, CHU Hassan II, Batha, 30000 Fès, Maroc.
authors.forename: I
authors.initials: I
authors.lastname: Benatiya Andaloussi
authors.affiliation: Service d'ophtalmologie, hôpital Omar Drissi, CHU Hassan II, Batha, 30000 Fès, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: Tahri
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000453:epidemiology; D019591:Pseudophakia / Q000453:epidemiology; D012163:Retinal Detachment / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000601:surgery; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000379:methods*; D016896:Treatment Outcome; D014792:Visual Acuity; D018630:Vitreoretinopathy, Proliferative / Q000453:epidemiology / Q000601:surgery; D055815:Young Adult
keywords: Décollement de rétine inférieur; Déhiscence inférieure; Indentation sclérale; Inferior retinal detachment; Inferior tear; Scleral buckling