The necessity and role of scleral buckling for rhegmatogenous retinal detachment.

IF 3 2区医学 Q1 OPHTHALMOLOGY Current Opinion in Ophthalmology Pub Date : 2024-09-01 Epub Date: 2024-05-31 DOI:10.1097/ICU.0000000000001065

Kristine Y Wang, Olufemi E Adams, Michael D Yu, Yoshihiro Yonekawa

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Abstract

Purpose of review: With a decline in the use of scleral buckling for rhegmatogenous retinal detachment (RRD) repair in recent years, this review seeks to provide a summary of the most recent research findings regarding the role of scleral buckling in the repair of RRD.

Recent findings: Many recent studies have compared visual and anatomic outcomes between scleral buckling and pars plana vitrectomy (PPV) for RRD repair. Some suggest superior outcomes with primary scleral buckling, particularly in younger, phakic patients, and in association with other risk factors that we review. Children do best with primary scleral buckling surgery. Functionally, scleral buckling may also result in lower rates of retinal displacement compared to PPV. When PPV is necessary, a supplemental buckle may benefit certain patients, while the advantage remains unclear in other clinical scenarios and necessitates further investigation.

Summary: Scleral buckling is an important technique for the repair of RRD and it is crucial to continue training retina surgeons in this technique to maximize patient outcomes.

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巩膜扣带术治疗流变性视网膜脱离的必要性和作用。

综述的目的：近年来，流变性视网膜脱离（RRD）修复术中使用巩膜扣带术的情况有所减少，本综述旨在总结有关巩膜扣带术在RRD修复术中作用的最新研究成果：最近的许多研究比较了巩膜扣带术和玻璃体旁切除术（PPV）在RRD修复中的视觉和解剖效果。一些研究表明，初次巩膜扣带术的疗效更佳，尤其是对于年轻的无晶体眼患者，以及与其他风险因素相关的患者，我们对此进行了综述。儿童接受初级巩膜扣锁手术的效果最好。从功能上讲，巩膜扣带术后视网膜移位的发生率也低于 PPV。总结：巩膜扣带术是修复 RRD 的一项重要技术，继续培训视网膜外科医生掌握这项技术以最大限度地提高患者的治疗效果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Ophthalmology 医学-眼科学

CiteScore

6.80

自引率

5.40%

发文量

120

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Ophthalmology is an indispensable resource featuring key up-to-date and important advances in the field from around the world. With renowned guest editors for each section, every bimonthly issue of Current Opinion in Ophthalmology delivers a fresh insight into topics such as glaucoma, refractive surgery and corneal and external disorders. With ten sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, clinicians and other healthcare professionals alike.

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