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Scleral buckling for pediatric retinal detachment yields good results
J Pediatr Ophthalmol Strabismus. 2010;47(5):281-287.
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Scleral buckling for retinal detachment resulting from dialysis yields good short- and long-term results and remains a preferred treatment for pediatric patients, according to a study.
In the consecutive case series, 52 eyes of 50 patients between the ages of 6 and 28 years with dialysis-induced retinal detachment underwent segmental buckling between 1990 and 1998.
At 1 year follow-up, the retina was completely reattached after one surgical procedure in 87% of eyes, and 97% of eyes had a reattached retina after two procedures.
In 2007, 40 eyes were re-examined for long-term results, and none showed retinal redetachment. However, additional surgeries, including laser retinopexy, cataract surgery, vitrectomy and the removal of the buckling element, had been performed.
Seventy percent of the eyes had an improvement in visual acuity; however, only 40% regained reading vision because of the high rate of preoperative macula-off retinal detachment, the study said.
"Scleral buckling for retinal detachment due to dialysis yields good results, even in the long term, and remains the treatment of choice for these usually young patients despite the increasing popularity of primary vitrectomy," the authors said.