title: Scleral buckling in phakic uncomplicated primary rhegmatogenous retinal detachment: long-term outcomes.
abstract: OBJECTIVE
  Scleral buckling (SB) is a surgical technique that has been used successfully to treat retinal detachments for the last 6 decades. The aim of this study was to report the long-term anatomical and functional outcomes of SB surgery in phakic patients with uncomplicated primary rhegmatogenous retinal detachment (PRRD). This article also outlines the benefits of SB compared to pars plana vitrectomy, such as reducing the risk of developing cataract, high intraocular pressure, and glaucoma, in addition to reducing surgical cost.
  
  
  METHODS
  We retrospectively reviewed the clinical notes of 90 phakic eyes with PRRD treated with SB surgery that had a minimum of 5 years follow-up. Preoperative and postoperative characteristics were recorded. Main outcome measures were reattachment rate, best-corrected visual acuity (BCVA) improvement, and complications.
  
  
  RESULTS
  A total of 90 eyes (88 patients) with phakic PRRD repaired through SB surgery were included. Mean age was 49.2 ± 14.6 years (range 20-80). Primary and final anatomic success was 96.7% and 100%, respectively. Mean preoperative BCVA was 0.3 ± 0.31 logMAR (6/12) and mean postoperative BCVA 0.1 ± 0.2 logMAR (p<0.001) (6/7.5). There were no cataract or primary open-angle glaucoma cases after 1 year of follow-up. Mean follow-up was 8.5 ± 2.6 years (range 5-13).
  
  
  CONCLUSIONS
  We report a high single operation success rate over time in phakic PRRD, repaired through SB surgery. Functional and anatomical success was maintained throughout the follow-up without complications. Therefore, the authors recommend the use of this technique in selected cases in order to reduce morbidity and the incidence of reoperations.
authors.affiliation: Institute of Ocular Microsurgery (IMO), Barcelona - Spain.|Western Eye Hospital, London - UK.
authors.forename: Claudia
authors.initials: C
authors.lastname: Quijano
authors.affiliation: Institute of Ocular Microsurgery (IMO), Barcelona - Spain.|Western Eye Hospital, London - UK.|IRCCS MultiMedica, San Giuseppe Hospital University Eye Clinic, Milan - Italy.
authors.forename: Micol
authors.initials: M
authors.lastname: Alkabes
authors.affiliation: Institute of Ocular Microsurgery (IMO), Barcelona - Spain.
authors.forename: Maria
authors.initials: M
authors.lastname: Gómez-Resa
authors.affiliation: Institute of Ocular Microsurgery (IMO), Barcelona - Spain.
authors.forename: Andrea
authors.initials: A
authors.lastname: Oleñik
authors.affiliation: Department of Clinical Sciences and Community Health, University of Milan, Milan - Italy.
authors.forename: Edoardo
authors.initials: E
authors.lastname: Villani
authors.affiliation: Institute of Ocular Microsurgery (IMO), Barcelona - Spain.
authors.forename: Borja
authors.initials: B
authors.lastname: Corcóstegui
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017679:Cryotherapy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D017075:Laser Coagulation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D012163:Retinal Detachment / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling / Q000379:methods*; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods; D055815:Young Adult