title: Retinal Detachment Due to Retinal Dialysis: Surgical Outcome After Scleral Buckling.
abstract: OBJECTIVE
  The aim of this study was to determine the efficacy and safety of scleral buckling surgery in retinal detachment due to retinal dialysis.
  
  
  METHODS
  This study was a prospective, interventional case series.
  
  
  METHODS
  A total of 48 eyes of 48 consecutive patients were included after obtaining informed written consent. Besides taking a thorough history, all eyes were examined by a retinal surgeon. The macula status, site, and extent of retinal dialysis and rhegmatogenous retinal detachment (RRD) were particularly noted. Proliferative vitreoretinopathy grading was done. Buckling was performed by a single surgeon. At every follow-up, visual acuity, intraocular pressure, retina status, and buckle position were noted. Any complication found was recorded. Follow-up was done for at least 6 months. SPSS version 16 was used for data analysis.
  
  
  RESULTS
  We included 48 cases of RRD due to retinal dialysis. The mean ± SD age of the patients was 26.85 ± 15.1 years. The macula was detached in 85.4% of the cases, and proliferative vitreoretinopathy grade C was found in 25% of the cases. A surgical reattachment rate of 95.8% was attained after a single primary buckling procedure. Final Snellen best-corrected visual acuity of 6/18 or better was attained in 12.5% of the cases. However, 62.5% of the cases had best-corrected visual acuity in the range of 6/24 to 6/60. Subretinal hemorrhage occurred in 8.3% of cases intraoperatively after subretinal fluid drainage.
  
  
  CONCLUSIONS
  We conclude that scleral buckling has a definite role in the management of RRD due to retinal dialysis.
authors.affiliation: From the Department of Ophthalmology, Khyber Girls Medical College, Hayatabad Medical Complex, Peshawar, Pakistan.
authors.forename: Sanaullah
authors.initials: S
authors.lastname: Jan
authors.forename: Zakir
authors.initials: Z
authors.lastname: Hussain
authors.forename: Umer
authors.initials: U
authors.lastname: Khan
authors.forename: Mohammad Tariq
authors.initials: MT
authors.lastname: Khan
authors.forename: Samina
authors.initials: S
authors.lastname: Karim
mesh_terms: D000293:Adolescent; D000328:Adult; D058450:Endotamponade; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000601:surgery*; D012591:Scleral Buckling; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy; D055815:Young Adult