title: A review of scleral buckle procedures performed at a tertiary care center in Karachi, Pakistan.
abstract: This retrospective study was done to evaluate the visual and anatomic outcomes of scleral buckling for the repair of rhegmatogenous retinal detachment (RRD). All scleral buckle procedures performed at the Aga Khan University Hospital, Karachi, from May 1999 to April 2012 were included. A total of 75 eyes of 72 patients were studied. The mean age of patients at surgery was 33.0±17.2 years. The mean logarithm of the minimum angle of resolution (logMAR) visual acuity (VA) was 0.9±0.8 pre-operatively and 0.5±0.6 at 1 year (p=0.018). At baseline, 27(36%) eyes had a best corrected visual acuity (BCVA) of 20/50 or better, while at 1 year after surgery 47(63.5%) eyes had BCVA of 20/50 or better. Retina had successfully attached after first attempt in 70(93.3%) cases. Scleral buckling for the repair of RRD resulted in a high anatomical success rate as well as significant improvement in visual acuity.
authors.affiliation: Section of Ophthalmology, Department of Surgery, Aga Khan University, Karachi.
authors.forename: Farzeen Khalid
authors.initials: FK
authors.lastname: Hashmi
authors.affiliation: Section of Ophthalmology, Department of Surgery, Aga Khan University, Karachi.
authors.forename: Umair Razaque
authors.initials: UR
authors.lastname: Arain
authors.affiliation: Section of Ophthalmology, Department of Surgery, Aga Khan University, Karachi.
authors.forename: Azam
authors.initials: A
authors.lastname: Ali
authors.affiliation: Section of Ophthalmology, Department of Surgery, Aga Khan University, Karachi.
authors.forename: Khabir
authors.initials: K
authors.lastname: Ahmad
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D008875:Middle Aged; D010154:Pakistan; D012163:Retinal Detachment / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000379:methods / Q000706:statistics & numerical data*; D062606:Tertiary Care Centers / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Anatomic success, Scleral buckle, Rhegmatogenous retinal detachment, Visual outcome.