Learning points from selected cases of scleral buckling surgery for rhegmatogenous retinal detachments

Y. Babalola
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Abstract

Rhegmatogenous retinal detachment is a common presentation in any retinal clinic as the common clinical feature is sudden visual loss that could lead to debilitating blindness if not promptly treated. Scleral buckling is one of the earliest methods of management of rhegmatogenous retinal detachments though in the modern era, pars plana vitrectomy is the more frequently utilized technique. Although scleral buckling is tending towards being a lost art amongst vitreoretinal surgeons, it may still have a crucial role especially in developing countries like Nigeria as it is relatively affordable for our populace and the materials are readily available in comparison to pars plana vitrectomy. Appropriate patient selection and prompt surgical intervention is key in achieving satisfactory anatomical and visual outcomes with scleral buckling surgery.
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巩膜屈曲手术治疗孔源性视网膜脱离的经验教训
孔源性视网膜脱离是任何视网膜临床中常见的表现,因为常见的临床特征是突然的视力丧失,如果不及时治疗,可能导致衰弱性失明。巩膜屈曲是最早的治疗孔源性视网膜脱离的方法之一,但在现代,玻璃体切割是更常用的技术。尽管在玻璃体视网膜外科医生中,巩膜扣合术正逐渐成为一种失传的技术,但它仍可能发挥至关重要的作用,特别是在尼日利亚等发展中国家,因为它对我们的民众来说相对负担得起,而且与玻璃体切割术相比,材料也很容易获得。适当的患者选择和及时的手术干预是巩膜屈曲手术获得满意解剖和视觉结果的关键。
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