Simple Encircling Scleral Band for Uncomplicated Retinal Detachment

Article Sidebar

  PDF
Published Feb 26, 2024
DOI: https://doi.org/10.35479/ijretina.2024.vol007.iss001.258

Main Article Content

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: 27 dec. 2024. doi: https://doi.org/10.35479/ijretina.2024.vol007.iss001.258.
ABNT APA BibTeX CBE EndNote - EndNote format (Macintosh & Windows) MLA ProCite - RIS format (Macintosh & Windows) RefWorks Reference Manager - RIS format (Windows only) Turabian
Issue
Vol 7 No 1 (2024): International Journal of Retina (IJRetina) - INAVRS
Section
Research Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

References

1. Thanos. A, Papakostas TD, Young LH. Scleral buckle: does it still have a role in retinal detachment repair? Int Ophthalmol Clin. 2015;55(4):147–156. doi: 10.1097/IIO.0000000000000085.
2. Chronopoulos A, Schutz JS, Varga Z, Souteyrand G, Thumann G. Complications of Encircling Bands-prevention and Management. J Clin Exp Ophthalmol 2015, 6:3. doi: 10.4172/2155-9570.1000440
3. Park SW, Lee JJ, Lee JE. Scleral buckling in the management of Rhegmatogenous Retinal Detachment: Patient Selection and Perspectives. Clinical Ophthalmology 2018:12 1605–1615. doi: 10.2147/OPTH.S153717
4. Lincoff H, Stopa M, Kreissig I, Madjarov B, Sarup V, Saxena S, et al. Cutting the encircling band. Retina 2006;26:650‐654. doi: 10.1097/01.iae.0000236475.01938.c4.
5. Sugawara R, Nagaoka T, Kitaya N, Fujio N, Takahashi J, Takahashi A, et al. Choroidal blood flow in the foveal region in eyes with rhegmatogenous retinal detachment and scleral buckling procedures. Br J Ophthalmol 2006;90:1363‐1365. doi: 10.1136/bjo.2006.097485
6. Tsui I. Scleral buckle removal: indications and outcomes. Surv Ophthalmol. 2012;57: 253-263. doi: 10.1016/j.survophthal.2011.11.001.
7. Banaee T, Hosseini SM, Helmi T, Ghooshkhanei H. Encircling Narrow Band versus Buckle for Retinal Detachments with Intrabasal or Unseen Retinal Breaks. J Ophthalmic Vis Res 2015; 10 (1): 55‐59. doi: 10.4103/2008-322X.156112
8. Wang A, Snead MP. Scleral buckling-a brief historical overview and current indications. Graefes Arch Clin Exp Ophthalmol. 2020 Mar; 258(3):467-478. doi: 10.1007/s00417-019-04562-1.
9. Sharma RK, Akkawi MT, Shehadeh MM, Aghbar AA, Qaddumi J. Anatomical and visual outcomes of scleral buckling surgery in rhegmatogenous retinal detachment. Middle East Afr J Ophthalmol. 2020 Jul 20; 27(2):100-4. doi: 10.4103/meajo.MEAJO_94_18.
10. Znaor L, Medic A, Binder S, Vucinovic A, Lovric JM, Puljak L. Pars plana vitrectomy versus scleral buckling for repairing simple rhegmatogenous retinal detachments. Cochrane Database Syst Rev. 2019 Mar;3(3):CD009562. doi: 10.1002/14651858.CD009562.pub2.
11. Radice, P., Carini, E., Seidenari, P., & Govetto, A. Standardized scleral buckling approach in the management of noncomplex primary rhegmatogenous retinal detachment. Eur J Ophthalmol. 2021 Jul;31(4):1993-2002. doi: 10.1177/1120672120940209.
12. Fallico M, Alosi P, Reibaldi M, Longo A, Bonfiglio V, Avitabile T, et al. Scleral Buckling: A Review of Clinical Aspects and Current Concepts. J Clin Med. 2022 Jan 9;11(2):314. doi: 10.3390/jcm11020314.
13. Kocaoglan H, Unlü N, Acar MA, Sargin M, Aslan BS, Duman S. Management of rhegmatogenous retinal detachment without detectable breaks. Clin Experiment Ophthalmol 2002;30:415‐418. doi: 10.1046/j.1442-9071.2002.00571.x.
14. Tewari HK, Kedar S, Kumar A, Garg SP, Verma LK. Comparison of scleral buckling with combined scleral buckling and pars plana vitrectomy in the management of rhegmatogenous retinal detachment with unseen retinal breaks. Clin Experiment Ophthalmol 2003;31:403‐407. doi: 10.1046/j.1442-9071.2003.00686.x.
15. Criswick VG, Brockhurst RJ. Retinal detachment 360-degree scleral buckling as a primary procedure. Arch Ophthalmol 1969;82:641‐650. doi: 10.1001/archopht.1969.00990020637012.
16. Bernabei F, Pellgrini M, Taroni L, Roda M, Toshci PG, Schiavi C et al. Choroidal vacular changes after encircling scleral buckling for rhegmatogenous retinal detachment. Eye (Lond). 2021 Sep;35(9):2619-2623. doi: 10.1038/s41433-020-01307-x.
17. Shah R, Byanju R, Pradhan S, Ranabhat S. Factors Affecting the Outcome of Scleral Buckling Surgery for Primary Rhegmatogenous Retinal Detachment. J Ophthalmol. 2018 Nov 13;2018:9016302. doi: 10.1155/2018/9016302.
18. Benson SE, Schlottmann PG, Bunce C, Xing W, Charteris DG. Optical coherence tomography analysis of the macula after scleral buckle surgery for retinal detachment. Ophthalmology 2007 Jan;114(1):108-12. doi: 10.1016/j.ophtha.2006.07.022.
19. Huang et al. Scleral buckling versus vitrectomy for macula-off rhegmatogenous retinal detachment as accessed with spectral-domain optical coherence tomography: a retrospective observational case series. BMC Ophthalmol. 2013 Apr 15;13:12. doi: 10.1186/1471-2415-13-12.
20. Vetrugno M, Gigante G, Cardia L: The choroidal circulation after retinal detachment surgery. Clin Hemorheol Microcirc 1999, 21:349–352.
21. Eshita T, Shinoda K, Kimura I, Kitamura S, Ishida S, Inoue M, Mashima Y, Katsura H, Oguchi Y: Retinal blood flow in the macular area before and after scleral buckling procedures for rhegmatogenous retinal detachment without macular involvement. Jpn J Ophthalmol. 2004 Jul-Aug;48(4):358-63. doi: 10.1007/s10384-004-0096-5.
22. Nassaralla Junior JJ, Nassaralla BBA. Refractive changes after scleral buckling surgery. Arq Bras Oftalmol. 2003;66:575-8. doi: 10.1590/S0004-27492003000500006
23. Okada Y, Nakamura S, Kubo E, Oishi N, Takahashi Y, Akagi, Y. Analysis of changes in corneal shape and refraction following scleral buckling surgery. Jpn J Ophthalmol. 2000 Mar-Apr;44(2):132-8. doi: 10.1016/s0021-5155(99)00183-5.