Simple Encircling Scleral Band for Uncomplicated Retinal Detachment

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Ari Djatikusumo Emil Fahrinandi Sjahreza Triwijayanti Triwijayanti Abisyifa Rahma Taim Seruni Hanna Ardhia

Abstract

Introduction: Report the surgical and visual outcome of using a narrow band in encircling scleral buckling for selected rhegmatogenous retinal detachment (RRD).


Methods: A retrospective case series review of 16 patients with primary RRD treated with encircling scleral buckling using a narrow band 240 (2.5 mm) in KMN Eye Care from June 2018 to June 2020.


Results: A total of 16 eyes in 16 patients with RRD underwent encircling scleral buckling with a narrow silicone band 240 (2.5 mm) without any additional tire or sponge. All patients have myopic eyes, with the mean pre-operative best-corrected visual acuity (BCVA) is less than 0.50. The primary success rate of retinal reattachment was 81.25%. Three patients had retinal re-detachment within one month post-surgery, and 2 patients had persistent sub-macular fluid, despite retinal reattachment. In patients with retinal reattachment, the BCVA showed improvement better than 0.5 at 1-month follow-up (9 patients, 69.2%). Spherical equivalent changes before and after scleral buckling were -1.90 D.


Conclusion: Narrow encircling scleral buckle surgery can be considered an effective and safe technique in selected RRDs, including anteriorly located, multiple, or invisible retinal breaks. A further, large-size randomized controlled study is needed to confirm its efficacy.

Keywords

encircling scleral buckling, narrow band, rhegmatogenous retinal detachment

Article Details

How to Cite
DJATIKUSUMO, Ari et al. Simple Encircling Scleral Band for Uncomplicated Retinal Detachment. International Journal of Retina, [S.l.], v. 7, n. 1, p. 1, feb. 2024. ISSN 2614-8536. Available at: <https://ijretina.com/index.php/ijretina/article/view/258>. Date accessed: 23 nov. 2024. doi: https://doi.org/10.35479/ijretina.2024.vol007.iss001.258.
Section
Research Articles

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