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Scleral buckle under the surgical microscope may be effective in treating retinal detachment
Ophthalmic Surg Lasers Imaging. 2011;42(2):96-101.
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Scleral buckling of primary rhegmatogenous retinal detachment under the surgical microscope, without the indirect ophthalmoscope, may be an effective method of treatment, according to a study.
"The scleral buckling surgery of the retinal detachment under the surgical microscope for equatorial and pre-equatorial breaks has the merits that the surgeon's view is clear, the operation can be mastered easily, and good surgical results can be obtained," the study authors wrote.
A retrospective review assessed 342 eyes of 339 patients who underwent this procedure at the Second Affiliated Hospital of Harbin Medical University, Heilongjiang, China, between March 2002 and June 2008.
Primary retinal attachment was achieved in 88.9% of patients, and the final surgical success rate was 98%.
Additional retinal breaks were found intraoperatively in 39 cases. Of 36 eyes that had not shown retinal breaks preoperatively, 23 demonstrated breaks during surgery.
The surgical microscope and bimanual technique effectively aided surgeons in finding previously undetected breaks and closing them during surgery, the study authors said.