Clinical observation of scleral buckling in patients with retinal detachment with large or giant retinal hole_West China Medical Journal

Authors：

 HU Yuzhang , YAN Huajing , ZHOU Bo , ZHANG Hui

Fundus Disease Department, Chengdu Aidi Eye Hospital, Chengdu, Sichuan 610072, P. R. China;

Corresponding?author：

HU Yuzhang, Email: rsn2008@sina.com

Keywords：

Rhegmatogenous retinal detachment; scleral buckling; giant retinal hole; vitrectomy

DOI：

10.7507/1002-0179.202111104

Video：

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Objective To analyze the surgical feasibility, operative key points and visual function recovery of scleral buckling in patients with rhegmatogenous retinal detachment (RRD) with large or giant retinal hole. Methods RRD patients with large or giant retinal hole who underwent scleral buckling in Chengdu Aidi Eye Hospital between January 1, 2019 and December 31, 2020 were retrospectively selected. The general data, complications and postoperative recovery of the patients were observed. Results A total of 344 inpatients (351 eyes) underwent scleral buckling with RRD, including 43 patients (43 eyes) with retinal detachment of large or giant hole. Among the 43 patients, there were 30 males (30 eyes) and 13 females (13 eyes); 42 cases were successfully operated and got retinal reattachment, and 1 failed. One week later, the patient underwent vitrectomy combined with silicone oil tamponade, and got retinal reattachment. No serious complications occurred in the patients after operation. The visual acuity of most patients improved after surgery. Conclusions Scleral buckling is still an effective method to treat RRD. It is still suitable for more patients as long as they are carefully checked before operation and the operators master the key points of operation. At the same time, more patients’ vitreous bodies can be preserved, and the normal structure and intraocular environment of the eyeball can be maintained.

Citation： HU Yuzhang, YAN Huajing, ZHOU Bo, ZHANG Hui. Clinical observation of scleral buckling in patients with retinal detachment with large or giant retinal hole. West China Medical Journal, 2022, 37(12): 1831-1835. doi: 10.7507/1002-0179.202111104 Copy

1.	Zhu R, Zhou N, Wei W. Rhegmatogenous retinal detachment//Wei W. Atlas of retinal detachment. Singapore: Springer, 2019: 13-32.
2.	郭悅, 劉以文, 古湘瑜, 等. 孔源性視網膜脫離患者臨床特征分析. 中國眼耳鼻喉科雜志, 2020, 20(1): 31-35.
3.	Nielsen BR, Alberti M, Bjerrum SS, et al. The incidence of rhegmatogenous retinal detachment is increasing. Acta Ophthalmol, 2020, 98(6): 603-606.
4.	胡玉章, 陳艷君, 劉華, 等. 單純鞏膜扣帶手術治療 376 例孔源性視網膜脫離的療效觀察. 中華眼底病雜志, 2020, 36(7): 539-543.
5.	Park SW, Kwon HJ, Byon IS, et al. Impact of age on scleral buckling surgery for rhegmatogenous retinal detachment. Korean J Ophthalmol, 2017, 31(4): 328-335.
6.	Shah R, Byanju R, Pradhan S, et al. Factors affecting the outcome of scleral buckling surgery for primary rhegmatogenous retinal detachment. J Ophthalmol, 2018, 2018: 9016302.
7.	Gloor BP, Marmor MF. Controversy over the etiology and therapy of retinal detachment: the struggles of Jules Gonin. Surv Ophthalmol, 2013, 58(2): 184-195.
8.	岳章顯, 劉芳. 簡單孔源性視網膜脫離外路手術后視網膜再脫離原因分析. 國際眼科雜志, 2011, 11(11): 2027-2028.
9.	Ting DSW, Foo VHX, Tan TE, et al. 25-years trends and risk factors related to surgical outcomes of giant retinal tear-rhegmatogenous retinal detachments. Sci Rep, 2020, 10(1): 5474.
10.	Pitcher JD 3rd, Khan MA, Storey PP, et al. Contemporary management of rhegmatogenous retinal detachment due to giant retinal tears: a consecutive case series. Ophthalmic Surg Lasers Imaging Retina, 2015, 46(5): 566-570.
11.	王兵. 24 例巨大裂孔性視網膜脫離的手術治療觀察. 中國醫學工程, 2014, 22(2): 19, 21.
12.	段安麗, 魏文斌, 王景昭, 等. 兒童巨大裂孔視網膜脫離的手術治療. 中華眼底病雜志, 2000, 16(1): 51-52.
13.	Braimah IZ, Akafo S, Chhablani J. Scleral buckle surgery in Ghana: a decade comparison of the anatomic and visual outcome. Clin Ophthalmol, 2018, 12: 2509-2517.
14.	田超偉, 王雨生, 竇國睿, 等. 鞏膜扣帶術術中放液后視網膜下出血的臨床觀察. 眼科, 2019, 28(5): 371-373.
15.	肖瀟, 杜兆江, 楊格強, 等. 最小量鞏膜扣帶術治療陳舊性視網膜脫離的療效觀察. 國際眼科雜志, 2017, 4(1): 6-8.
16.	Khan B, Anand VS, Wasil A, et al. Excellent results of scleral buckling in the era of microincision vitreous surgery. Egypt Retina J, 2017, 4(1): 6-8.
17.	張凌, 陳彬, 韓宇. 玻璃體切除術后硅油填充眼復發視網膜脫離的原因分析. 中醫眼耳鼻喉雜志, 2018, 1(1): 24-26.

1. Zhu R, Zhou N, Wei W. Rhegmatogenous retinal detachment//Wei W. Atlas of retinal detachment. Singapore: Springer, 2019: 13-32.
2. 郭悅, 劉以文, 古湘瑜, 等. 孔源性視網膜脫離患者臨床特征分析. 中國眼耳鼻喉科雜志, 2020, 20(1): 31-35.
3. Nielsen BR, Alberti M, Bjerrum SS, et al. The incidence of rhegmatogenous retinal detachment is increasing. Acta Ophthalmol, 2020, 98(6): 603-606.
4. 胡玉章, 陳艷君, 劉華, 等. 單純鞏膜扣帶手術治療 376 例孔源性視網膜脫離的療效觀察. 中華眼底病雜志, 2020, 36(7): 539-543.
5. Park SW, Kwon HJ, Byon IS, et al. Impact of age on scleral buckling surgery for rhegmatogenous retinal detachment. Korean J Ophthalmol, 2017, 31(4): 328-335.
6. Shah R, Byanju R, Pradhan S, et al. Factors affecting the outcome of scleral buckling surgery for primary rhegmatogenous retinal detachment. J Ophthalmol, 2018, 2018: 9016302.
7. Gloor BP, Marmor MF. Controversy over the etiology and therapy of retinal detachment: the struggles of Jules Gonin. Surv Ophthalmol, 2013, 58(2): 184-195.
8. 岳章顯, 劉芳. 簡單孔源性視網膜脫離外路手術后視網膜再脫離原因分析. 國際眼科雜志, 2011, 11(11): 2027-2028.
9. Ting DSW, Foo VHX, Tan TE, et al. 25-years trends and risk factors related to surgical outcomes of giant retinal tear-rhegmatogenous retinal detachments. Sci Rep, 2020, 10(1): 5474.
10. Pitcher JD 3rd, Khan MA, Storey PP, et al. Contemporary management of rhegmatogenous retinal detachment due to giant retinal tears: a consecutive case series. Ophthalmic Surg Lasers Imaging Retina, 2015, 46(5): 566-570.
11. 王兵. 24 例巨大裂孔性視網膜脫離的手術治療觀察. 中國醫學工程, 2014, 22(2): 19, 21.
12. 段安麗, 魏文斌, 王景昭, 等. 兒童巨大裂孔視網膜脫離的手術治療. 中華眼底病雜志, 2000, 16(1): 51-52.
13. Braimah IZ, Akafo S, Chhablani J. Scleral buckle surgery in Ghana: a decade comparison of the anatomic and visual outcome. Clin Ophthalmol, 2018, 12: 2509-2517.
14. 田超偉, 王雨生, 竇國睿, 等. 鞏膜扣帶術術中放液后視網膜下出血的臨床觀察. 眼科, 2019, 28(5): 371-373.
15. 肖瀟, 杜兆江, 楊格強, 等. 最小量鞏膜扣帶術治療陳舊性視網膜脫離的療效觀察. 國際眼科雜志, 2017, 4(1): 6-8.
16. Khan B, Anand VS, Wasil A, et al. Excellent results of scleral buckling in the era of microincision vitreous surgery. Egypt Retina J, 2017, 4(1): 6-8.
17. 張凌, 陳彬, 韓宇. 玻璃體切除術后硅油填充眼復發視網膜脫離的原因分析. 中醫眼耳鼻喉雜志, 2018, 1(1): 24-26.

West China Medical Journal

Clinical observation of scleral buckling in patients with retinal detachment with large or giant retinal hole

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