title: Scleral buckling surgery using multiple radial buckles: A valid option?
abstract: OBJECTIVE
  To determine whether radial buckling surgery using two or more radial buckles with or without circumferential silicone tires is still a treatment option for rhegmatogenous retinal detachment (RRD) in the current scenario.
  
  
  METHODS
  Retrospective chart review. Patients with RRD with two or more horse-shoe tears with/without proliferative vitreoretinopathy up to grade C1 who underwent buckling surgery using at least two radial buckle segments without encircling bands or drainage and with at least a 3 year follow up were included in the study. Data collected included demographics, corrected distance visual acuity (CDVA) at baseline and final follow up, details of the examination, surgical procedure(s) and complications noted, if any. Appropriate statistical analysis was done. Statistical significance was set at p < 0.05.
  
  
  METHODS
  Proportion of patients who had an attached retina at final follow up, improvement in CDVA and complications.
  
  
  RESULTS
  25 patients (25 eyes; 12 males and 13 females; 9 pseudophakic) were included.
  35.15 ± 8.32 years. Median baseline CDVA: 1.97 ± 1.12 log MAR. Median final CDVA: 0.65 ± 0.37 log MAR (significant improvement). Most common presenting complaint was decreased vision (87.5%). Number of radial buckle segments placed varied between 2 and 4 per eye. One patient required vitrectomy for persistent retinal detachment. One required buckle removal for infection 5 years after the primary procedure. One patient required strabismus surgery.
  12.25 years ± 2.14 years. None of the other patients had any complications.
  
  
  CONCLUSIONS
  Radial buckling surgery (two or more segments) is a reasonably safe and valid alternative to vitrectomy for RDs with multiple breaks in different planes.
authors.affiliation: Eye Hospital and Retinal Centre, Baroda, Gujarat, India.
authors.forename: Aditya
authors.initials: A
authors.lastname: Sudhalkar
authors.affiliation: Eye Hospital and Retinal Centre, Baroda, Gujarat, India.
authors.forename: Anand
authors.initials: A
authors.lastname: Sudhalkar
keywords: Radial buckle; Rhegmatogenous retinal detachment; Scleral buckling