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ISSN 1561-3070 (Electronic)

2021, Number 4

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Rev Cub Oftal 2021; 34 (4)

Scleral buckling and neumatic retinopexy

Márquez FA, Cabanes GL, Castillo BG, Ramos RY

Language: Spanish
References: 29
Page: 1-19
PDF size: 515.67 Kb.


ABSTRACT

Objective: Determine the results of the surgical technique of scleral buckling and neumatic retinopexy in rhegmatogenous retinal detachment.
Methods: A prospective longitudinal descriptive study was conduced of patients undergoing scleral buckling and neumatic retinopexy at Villa Clara Ophthalmology Center from June 2019 to December 2020.
Results: Male gender prevailed; mean age was 57.5 years. In 72.7% of the cases the retinal break causing the detachment was a U-shaped tear. Mean time of evolution of the disease was 7.2 days, and 77.3% of the eyes had a detached macula at diagnosis. In 68.2% preoperative best corrected visual acuity was <20/200. Patients with a preoperative detached macula achieved a mean final visual acuity of 0.4 ± 0.3 (standard deviation). Good final anatomical and functional results were obtained in 86.4% and 77.3% of the eyes. Epiretinal membranes were a postoperative complication in both surgical techniques, whereas residual subretinal fluid was a complication only in neumatic retinopexy.
Conclusions: Rhegmatogenous retinal detachment presents with poor preoperative visual acuity. Both surgical techniques obtain good anatomical and functional results in patients with minimum or no proliferative vitreoretinopathy.


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