2M.D. Specialist Ophthalmologies, Izmir/TURKEY
3M.D. Bozyaka Training and Research Hospital, Eye Clinic, Izmir/TURKEY
4M.D. Associate Professor, Bozyaka Training and Research Hospital, Eye Clinic, Izmir/TURKEY Purpose: To evaluate anatomic, functional success, results of scleral buckling surgery performed to rhegmatogenous retinal detachment cases and factors affecting the surgery results.
Materials and Methods: Skleral buckling surgery was performed to 78 rhegmatogenous retinal detachment cases in our clinic between June 2005 and August 2011 and medical records of these cases were evaluated retrospectively. General characteristics of the patients, etiologic factors, anatomical and functional successes and possible factors those may have a role on these results were evaluated.
Results: 45 of the eyes (57.7%) were phakic, 29 were pseudophakic (37.2%) and 4 of them were aphakic (5.1%). It was determined that phakic patients had both anatomically and functionlly more successful results. The short duration of the application time was found to be significant for functional success, but not to be effect for anatomical success (respectively p=0.003, p=0.127).. Before the surgery in 67 of the cases (85.9%), macula was inside the detachment area, in 11case (14.1%) macula was reattached. Macular involvement was compared for anatomic and functional success and no significant difference was established. After an average of 23.7 months follow-up; functional success in 47 (60.3%) cases and anatomic success in 66 (84.6%) cases were obtained.
Conclusions: Best results may be obtained when the appropriate surgical method was performed on time with the use of appropriate material for the scleral buckling surgery of rhegmatogenous retinal detachment
Keywords : Rhegmatogenous retinal detachment, scleral buckling, anatomic success, functional success