Rhegmatogenous Retinal Detachment (RRD) Management to Locate Retinal Breaks Through Scleral Buckling (SB)
Hussain Ahmad Khaqan
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-Ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan.
Hafiz Ateeq Ur Rehman
THQ Hospital Kot Radha Kishan, Kasur, Pakistan.
Laraib Hassan *
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-Ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan.
Hasnain Muhammad Bukhsh
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-Ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan.
Muhammad Ali Haider
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-Ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan.
Aamna Jabran
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-Ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
In this study, we wanted to know about the expert’s choice in scleral buckling via a questionnaire. The key to successful rhegmatogenous retinal detachment (RRD) management is to locate and seal all of the retinal breaks, which can be accomplished through scleral bucking (SB) or pars plana vitrectomy (PPV). We surveyed drainage of subretinal fluid in scleral buckling, the material of exoplanet used, and the success rate of scleral buckling. The use of cryotherapy, the spot number, and the subretinal fluid drainage did not affect the anatomical and visual outcomes. The existence of multiple retinal breaks was the only preoperative predictor linked to inferior anatomical outcomes. In the pars plana vitrectomy (PPV) group, there were fewer cases of retinal redetachment than in the scleral buckling group. Cryotherapy around the break is preferred to laser around the break as the success rate is 80% more compared with laser.
Keywords: Rhegmatogenous retinal detachment, laser, cryotherapy, visual outcomes