Scleral Buckling: Where we are, Choice from World Over
Hussain Ahmad Khaqan
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-ud-Din Medical College, Lahore General Hospital, Lahore, Pakistan.
Hafiz Ateeq ur Rehman
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-ud-Din Medical College, Lahore General Hospital, Lahore, Pakistan.
Laraib Hassan *
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-ud-Din Medical College, Lahore General Hospital, Lahore, Pakistan.
Muhammad Usman Zia
Department of Ophthalmology, Post Graduate Medical Institute, Ameer-ud-Din Medical College, Lahore General Hospital, Lahore, Pakistan.
Ahmad Fauzan
Post Graduate Medical Institute, Ameer-ud-Din Medical College, Lahore General Hospital, Lahore, Pakistan.
Hafiz Mubashir Farooqui
Post Graduate Medical Institute, Ameer-ud-Din Medical College, Lahore General Hospital, Lahore, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
The purpose of this study is to summarize the latest reports on the management of rhegmatogenous retinal detachment and to suggest management guidelines for choosing a surgical method in patients with rhegmatogenous retinal detachment. Most rhegmatogenous retinal detachments led to full retinal detachment and vision loss in the affected eye prior to the period of scleral buckling (SB). Scleral buckling was developed in the 1950s, allowing surgeons to treat rhegmatogenous retinal detachment surgically. The study gave questionnaire to 109 retinal surgeons from 18 different countries like Europe, America, and Asia etc. Surgical management of eyes with rhegmatogenous retinal detachment associated with proliferative vitreoretinopathy (PVR) depends on the location and extent of membranes. Pars plana vitrectomy is needed for eyes with posterior and extensive anterior epiretinal proliferations with or without subretinal strands to remove the contractile membranes and release the resultant retinal shortening.
Keywords: Rhegmatogenous retinal detachment, surgical management, epiretinal proliferations, vitreoretinal traction