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• W3031200351 abstract "Objective To discuss the effect of treatment of rhegmatogenous retinal detachments (RRD) by scleral buckling surgery as well as the relative risk factors affecting the anatomical retinal reattachment and visual recovery. Methods Seventy-two patients (72 eyes) with RRD treated by scleral buckling surgery in our hospital during January 2005 to December 2008 were retrospectively analyzed. Patients were followed up for 6 to 30 months, an average of (13.96± 8.28) months, and observed the rate of postoperative retinal anatomic reattachment, the best corrected visual acuity (BCVA) and complications. The Logistic regression was used to analyze the relative risk factors affecting the anatomical retinal reattachment and visual recovery. Results Retinal reattachment was achieved in 90.28% after initial surgery and the final success rate for anatomic reattachment was 97.22% assessed with ophthalmoscope and B-mode ultrasonography. But the first and final retinal reattachment rates assessed with the optical coherence tomography (OCT) were 59.72% and 77.78% respectively. Postoperative BCVA =0.3 reached to 62.5%. Retinal reattachment was affected by Grade Cl PVR and multiple breaks (P=0.0183 and P=0.0181, respectively). Preoperative visual acuity , macular detachment status and time, as well as the grade of PVR affected visual recovery significantly (P =0.0235, P =0.0124, P=0.0325 and P=0.0357, respectively). The complications included uveitis (13.89%), dysmorphopsia (9.72%), proliferative vitreous retinopathy (6.94%), macular pucker (6.94%), ocular hypertension (4.17%) and diplopia (2.78%). After SB, the anterior chamber depth, axial length, re fraction and astigmatism were all changed significantly (P=0.0260, P<0.0001, P=0.0005 and P=0.0018, re spectively) than before. Conclusions Scleral buckling is an effective technique for managing RRD, but grade Cl PVR and multiple breaks are significant risk factors for anatomic failure. Preoperative visual acuity, macular detachment status and time, as well as the grade of PVR affected visual recovery significantly. Simultaneously, the surgery could make anterior chamber depth decrease and axial extension. The refractive and astigmatic changes after buckling surgery were negative shifted.Key words: Rhegmatogenous retinal detachment;  Scleral buckling;  Proliferative vitreous retinopathy;  Optical coherence tomography" @default.
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• W3031200351 date "2010-06-10" @default.
• W3031200351 modified "2023-09-24" @default.
• W3031200351 title "Clinical observation of risk factors affecting the anatomical reattachment and visual recovery after scleral buckling" @default.
• W3031200351 doi "https://doi.org/10.3760/cma.j.issn.1006-4443.2010.06.010" @default.
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