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Scleral buckling preserves central vision at 20 years

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HOUSTON — Scleral buckling for primary rhegmatogenous retinal detachment achieves anatomical success and preservation of central vision in most eyes after 20 years of follow-up, according to researchers here at the McPherson Retina Center and Cullen Eye Institute.

Stephen Schwartz, MD, and colleagues identified 227 eyes with primary rhegmatogenous retinal detachment (RRD) who were treated with a scleral buckle and for whom at least 20 years of follow-up were available. Overall success was achieved in 95% of the eyes.

Retinal reattachment with one scleral buckling procedure was achieved in 186 (82%) of the patients, with a median final visual acuity of 20/40 at 20-year follow-up. Another 30 eyes (13%) achieved retinal reattachment after one or more additional vitreoretinal procedures, with a median final visual acuity of 20/50. Eleven eyes (5%) were detached at the 20-year follow-up. In these eyes there was no light perception.

The study is published in the March issue of Archives of Ophthalmology.