Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome

TS Oluleye, OA Ibrahim, BA OlusanyaRetina and Vitreous Unit, Department of Ophthalmology, University College Hospital, Ibadan, NigeriaBackground: Scleral buckle surgery is not a commonly performed surgical procedure in Sub-Saharan Africa due to a paucity of trained vitreo retinal surgeons. The aim o...

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Autores principales:	Oluleye TS, Ibrahim OA, Olusanya BA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/084d844f78c8485096ddf87e15a0ba03
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spelling	oai:doaj.org-article:084d844f78c8485096ddf87e15a0ba032021-12-02T01:13:23ZScleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome1177-54671177-5483https://doaj.org/article/084d844f78c8485096ddf87e15a0ba032013-05-01T00:00:00Zhttp://www.dovepress.com/scleral-buckling-for-retinal-detachment-in-ibadan-sub-saharan-africa-a-a13208https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483TS Oluleye, OA Ibrahim, BA OlusanyaRetina and Vitreous Unit, Department of Ophthalmology, University College Hospital, Ibadan, NigeriaBackground: Scleral buckle surgery is not a commonly performed surgical procedure in Sub-Saharan Africa due to a paucity of trained vitreo retinal surgeons. The aim of the study was to review sclera buckle procedures with a view to evaluating the anatomical and visual outcomes.Methods: Case records of patients that had scleral buckle surgery at the Retina Unit of the University College Hospital, Ibadan, Nigeria, between 2007 and 2010 were reviewed. Information retrieved included patients' demographics, duration of symptoms, and presenting vision. Other information included site of retinal break, extent of retinal detachment, involvement of the fellow eye, and macular involvement. Postoperative retina reattachment and postoperative visual acuity were also recorded. Proportions and percentages were used to analyze data.Results: Forty five eyes of 42 patients were studied with a male to female ratio of 1.6:1. The mean age was 47.7 years (±17.6 years). The median duration before presentation was 3 months (range: 5 days – 156 months). Subtotal retinal detachment was found in 35 eyes (77.8%) while total retinal detachment occurred in ten eyes (22.2%). Thirty four eyes (75.6%) had "macular off" detachments. At 6 weeks, there was an improvement in visual acuity in 23 eyes (51.1%), while visual acuity remained the same in nine eyes (20%) and was worse in 13 eyes (28.9%). Anatomical attachment was seen in 43 eyes (95.6%) on the operation table, in 40 eyes (90.9%) at first day postoperatively and in 32 eyes (86.5%) at 6 weeks after surgery.Conclusion: Outcome of sclera buckle surgery for rhegmatogenous retinal detachment may be improved in developing countries of Sub Sahara Africa if adequate awareness is created to educate the populace on early presentation.Keywords: retinal detachment, scleral buckle surgery, anatomical and visual outcomes, IbadanOluleye TSIbrahim OAOlusanya BADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1049-1052 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Oluleye TS Ibrahim OA Olusanya BA Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome
description	TS Oluleye, OA Ibrahim, BA OlusanyaRetina and Vitreous Unit, Department of Ophthalmology, University College Hospital, Ibadan, NigeriaBackground: Scleral buckle surgery is not a commonly performed surgical procedure in Sub-Saharan Africa due to a paucity of trained vitreo retinal surgeons. The aim of the study was to review sclera buckle procedures with a view to evaluating the anatomical and visual outcomes.Methods: Case records of patients that had scleral buckle surgery at the Retina Unit of the University College Hospital, Ibadan, Nigeria, between 2007 and 2010 were reviewed. Information retrieved included patients' demographics, duration of symptoms, and presenting vision. Other information included site of retinal break, extent of retinal detachment, involvement of the fellow eye, and macular involvement. Postoperative retina reattachment and postoperative visual acuity were also recorded. Proportions and percentages were used to analyze data.Results: Forty five eyes of 42 patients were studied with a male to female ratio of 1.6:1. The mean age was 47.7 years (±17.6 years). The median duration before presentation was 3 months (range: 5 days – 156 months). Subtotal retinal detachment was found in 35 eyes (77.8%) while total retinal detachment occurred in ten eyes (22.2%). Thirty four eyes (75.6%) had "macular off" detachments. At 6 weeks, there was an improvement in visual acuity in 23 eyes (51.1%), while visual acuity remained the same in nine eyes (20%) and was worse in 13 eyes (28.9%). Anatomical attachment was seen in 43 eyes (95.6%) on the operation table, in 40 eyes (90.9%) at first day postoperatively and in 32 eyes (86.5%) at 6 weeks after surgery.Conclusion: Outcome of sclera buckle surgery for rhegmatogenous retinal detachment may be improved in developing countries of Sub Sahara Africa if adequate awareness is created to educate the populace on early presentation.Keywords: retinal detachment, scleral buckle surgery, anatomical and visual outcomes, Ibadan
format	article
author	Oluleye TS Ibrahim OA Olusanya BA
author_facet	Oluleye TS Ibrahim OA Olusanya BA
author_sort	Oluleye TS
title	Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome
title_short	Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome
title_full	Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome
title_fullStr	Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome
title_full_unstemmed	Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome
title_sort	scleral buckling for retinal detachment in ibadan, sub-saharan africa: anatomical and visual outcome
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/084d844f78c8485096ddf87e15a0ba03
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Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome

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