Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks

Parnian Arjmand,1,2 Tina Felfeli,1,3 Efrem D Mandelcorn1,2 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada; 2Department of Ophthalmology, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada; 3Institute of Health Policy, Mana...

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Autores principales:	Arjmand P, Felfeli T, Mandelcorn ED
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	retinal breaks vitreoretinal surgery outcomes surgical technique retina retrospective study Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/9e9659605ce14528ba86257bea054dca
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spelling	oai:doaj.org-article:9e9659605ce14528ba86257bea054dca2021-12-02T17:08:57ZCombined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks1177-5483https://doaj.org/article/9e9659605ce14528ba86257bea054dca2021-08-01T00:00:00Zhttps://www.dovepress.com/combined-pars-plana-vitrectomy-and-segmental-scleral-buckle-for-rhegma-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Parnian Arjmand,1,2 Tina Felfeli,1,3 Efrem D Mandelcorn1,2 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada; 2Department of Ophthalmology, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada; 3Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaCorrespondence: Efrem D MandelcornDepartment of Ophthalmology, Toronto Western Hospital, University Health Network, 6E-432, 399 Bathurst St, Toronto, ON, M5T2S8, CanadaTel +1 416 603 5418Fax +1 416 603 5193Email efrem.mandelcorn@utoronto.caPurpose: To describe a variation of the traditional segmental scleral buckle (SB) without an encircling band combined with 23-gauge pars plana vitrectomy (PPV) for the management of rhegmatogenous retinal detachment (RRD) with inferior retinal breaks.Patients and Methods: This is a single-center, retrospective, consecutive review of all RRDs with inferior retinal breaks that were treated with PPV and segmental SB without an encircling band between May 2019 and February 2020.Results: A total of 12 eyes of 12 patients were included in the study. All patients had at least 1 inferior retinal break and more than 2 clock hours of retinal detachment. Eight eyes had RRD with macular involvement at presentation. Seven eyes had a persistent RRD following previous pneumatic retinopexy (C3F8). All eyes were treated by PPV combined with a segmental #510 sponge without an encircling band. Surgery anatomical success was 100%. Mean logMAR visual acuity was 1 (SD 0.6; 20/160) and 0.5 (SD 0.4; 20/60) at 3 months and last follow-ups, respectively. No scleral buckle-related complications were noted over the 4.1 (SD 0.8) month follow-up period.Conclusion: The combined segmental buckling technique is a safe and effective adjunct to PPV in treatment of inferior RRD.Keywords: retinal breaks, vitreoretinal surgery, outcomes, surgical technique, retina, retrospective studyArjmand PFelfeli TMandelcorn EDDove Medical Pressarticleretinal breaksvitreoretinal surgeryoutcomessurgical techniqueretinaretrospective studyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3515-3519 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	retinal breaks vitreoretinal surgery outcomes surgical technique retina retrospective study Ophthalmology RE1-994
spellingShingle	retinal breaks vitreoretinal surgery outcomes surgical technique retina retrospective study Ophthalmology RE1-994 Arjmand P Felfeli T Mandelcorn ED Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks
description	Parnian Arjmand,1,2 Tina Felfeli,1,3 Efrem D Mandelcorn1,2 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada; 2Department of Ophthalmology, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada; 3Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaCorrespondence: Efrem D MandelcornDepartment of Ophthalmology, Toronto Western Hospital, University Health Network, 6E-432, 399 Bathurst St, Toronto, ON, M5T2S8, CanadaTel +1 416 603 5418Fax +1 416 603 5193Email efrem.mandelcorn@utoronto.caPurpose: To describe a variation of the traditional segmental scleral buckle (SB) without an encircling band combined with 23-gauge pars plana vitrectomy (PPV) for the management of rhegmatogenous retinal detachment (RRD) with inferior retinal breaks.Patients and Methods: This is a single-center, retrospective, consecutive review of all RRDs with inferior retinal breaks that were treated with PPV and segmental SB without an encircling band between May 2019 and February 2020.Results: A total of 12 eyes of 12 patients were included in the study. All patients had at least 1 inferior retinal break and more than 2 clock hours of retinal detachment. Eight eyes had RRD with macular involvement at presentation. Seven eyes had a persistent RRD following previous pneumatic retinopexy (C3F8). All eyes were treated by PPV combined with a segmental #510 sponge without an encircling band. Surgery anatomical success was 100%. Mean logMAR visual acuity was 1 (SD 0.6; 20/160) and 0.5 (SD 0.4; 20/60) at 3 months and last follow-ups, respectively. No scleral buckle-related complications were noted over the 4.1 (SD 0.8) month follow-up period.Conclusion: The combined segmental buckling technique is a safe and effective adjunct to PPV in treatment of inferior RRD.Keywords: retinal breaks, vitreoretinal surgery, outcomes, surgical technique, retina, retrospective study
format	article
author	Arjmand P Felfeli T Mandelcorn ED
author_facet	Arjmand P Felfeli T Mandelcorn ED
author_sort	Arjmand P
title	Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks
title_short	Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks
title_full	Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks
title_fullStr	Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks
title_full_unstemmed	Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks
title_sort	combined pars plana vitrectomy and segmental scleral buckle for rhegmatogenous retinal detachment with inferior retinal breaks
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/9e9659605ce14528ba86257bea054dca
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Combined Pars Plana Vitrectomy and Segmental Scleral Buckle for Rhegmatogenous Retinal Detachment with Inferior Retinal Breaks

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