Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

Sung Who Park,1,2 Jae Jung Lee,1,2 Ji Eun Lee1,2 1Department of Ophthalmology, School of Medicine, Pusan National University, Yangsan, South Korea; 2Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea Abstract: Although the technique of pars plana vitrectomy (PPV)...

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Autores principales:	Park SW, Lee JJ, Lee JE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Age Myopia Posterior vitreous detachment Rhegmatogenous retinal detachment Scleral buckling Vitreous Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3a3410314b584f6a9b79d1b7eaf48865
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spelling	oai:doaj.org-article:3a3410314b584f6a9b79d1b7eaf488652021-12-02T03:35:12ZScleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives1177-5483https://doaj.org/article/3a3410314b584f6a9b79d1b7eaf488652018-08-01T00:00:00Zhttps://www.dovepress.com/scleral-buckling-in-the-management-of-rhegmatogenous-retinal-detachmen-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Sung Who Park,1,2 Jae Jung Lee,1,2 Ji Eun Lee1,2 1Department of Ophthalmology, School of Medicine, Pusan National University, Yangsan, South Korea; 2Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea Abstract: Although the technique of pars plana vitrectomy (PPV) develops rapidly, scleral buckling (SB) has several advantages over PPV for rhegmatogenous retinal detachment (RRD), including early visual rehabilitation and prevention of cataract progression. It is recommended to select the primary procedure for RRD by considering the advantages and disadvantages of each procedure based on the patient status. The vitreous body status affects the features of RRD. Vitreous liquefaction is an age-dependent process, resulting in the development of posterior vitreous detachment (PVD). RRD is usually associated with PVD, typically presenting with a retinal tear, strong vitreoretinal traction, and bullous detachment. In contrast, RRD may develop without PVD, and typically presents with a small atrophic hole, shallow detachment, and slow progression. RRD with less liquefied vitreous and no PVD can be managed successfully with SB alone even in the presence of subretinal strand as less liquefied vitreous acts as bio-tamponade blocking fluid passage. The strong traction induced by PVD and bullous detachment in an eye with extensively liquefied vitreous reduces the success rate of SB. PPV is gaining popularity as the primary procedure for RRD, especially in eyes with retinal tears, PVD, or pseudophakia. Nevertheless, SB remains the preferred procedure in young phakic patients without PVD. Keywords: age, myopia, posterior vitreous detachment, rhegmatogenous retinal detachment, scleral buckling, vitreousPark SWLee JJLee JEDove Medical PressarticleAgeMyopiaPosterior vitreous detachmentRhegmatogenous retinal detachmentScleral bucklingVitreousOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1605-1615 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Age Myopia Posterior vitreous detachment Rhegmatogenous retinal detachment Scleral buckling Vitreous Ophthalmology RE1-994
spellingShingle	Age Myopia Posterior vitreous detachment Rhegmatogenous retinal detachment Scleral buckling Vitreous Ophthalmology RE1-994 Park SW Lee JJ Lee JE Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
description	Sung Who Park,1,2 Jae Jung Lee,1,2 Ji Eun Lee1,2 1Department of Ophthalmology, School of Medicine, Pusan National University, Yangsan, South Korea; 2Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea Abstract: Although the technique of pars plana vitrectomy (PPV) develops rapidly, scleral buckling (SB) has several advantages over PPV for rhegmatogenous retinal detachment (RRD), including early visual rehabilitation and prevention of cataract progression. It is recommended to select the primary procedure for RRD by considering the advantages and disadvantages of each procedure based on the patient status. The vitreous body status affects the features of RRD. Vitreous liquefaction is an age-dependent process, resulting in the development of posterior vitreous detachment (PVD). RRD is usually associated with PVD, typically presenting with a retinal tear, strong vitreoretinal traction, and bullous detachment. In contrast, RRD may develop without PVD, and typically presents with a small atrophic hole, shallow detachment, and slow progression. RRD with less liquefied vitreous and no PVD can be managed successfully with SB alone even in the presence of subretinal strand as less liquefied vitreous acts as bio-tamponade blocking fluid passage. The strong traction induced by PVD and bullous detachment in an eye with extensively liquefied vitreous reduces the success rate of SB. PPV is gaining popularity as the primary procedure for RRD, especially in eyes with retinal tears, PVD, or pseudophakia. Nevertheless, SB remains the preferred procedure in young phakic patients without PVD. Keywords: age, myopia, posterior vitreous detachment, rhegmatogenous retinal detachment, scleral buckling, vitreous
format	article
author	Park SW Lee JJ Lee JE
author_facet	Park SW Lee JJ Lee JE
author_sort	Park SW
title	Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_short	Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_full	Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_fullStr	Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_full_unstemmed	Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
title_sort	scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/3a3410314b584f6a9b79d1b7eaf48865
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Scleral buckling in the management of rhegmatogenous retinal detachment: patient selection and perspectives

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