To identify risk factors for surgical failure after scleral buckling (SB) for primary rhegmatogenous retinal detachment (RRD) repair.
Single-centre retrospective consecutive case series.
All patients who underwent SB for repair of primary RRD at Wills Eye Hospital between January 1, 2015, and December 31, 2018, were included.
Single-surgery anatomic success (SSAS) rate and risk factors associated with surgical failure were evaluated. A multivariable logistic regression model was completed to assess the effect of demographic, clinical, and operative variables on SSAS rate.
A total of 499 eyes of 499 patients were included. Overall SSAS rate was 86% (n = 430 of 499). Using multivariate analysis, surgical failure was more likely in males (adjusted odds ratio [adjusted OR] = 2.98; 95% CI, 1.58–5.62; p = 0.0007) with a macula-off status on preoperative examination (adjusted OR = 2.15; 95% CI, 1.10–4.20; p = 0.03) and preoperative proliferative vitreoretinopathy (adjusted OR = 4.26; 95% CI, 1.10–16.5; p = 0.04). Time interval between initial examination and surgery (p = 0.26), distribution of buckle or band material used (p = 0.88), and distribution of tamponade used (p = 0.74) were not significantly different between eyes with and without surgical failure.
Male sex, macula-off status, and preoperative proliferative vitreoretinopathy were factors with increased odds of surgical failure after primary SB for RRD repair. Operative characteristics, such as type of band or use of tamponade, were not associated with surgical failure.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Canadian Journal of Ophthalmology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- [Treatment of retinal detachment by circumscribed diathermal coagulation and by scleral depression in the area of tear caused by imbedding of a plastic implant].Klin Monatsbl Augenheilkd Augenarztl Fortbild. 1956; 129: 476-495
- The scleral buckling procedures: I. Surgical techniques and management.AMA Arch Ophthalmol. 1957; 58: 797-811
- Primary Retinal Detachment Outcomes Study Report Number 2: phakic retinal detachment outcomes.Ophthalmology. 2020; 127: 1077-1085
- Reoperation rates of patients undergoing primary noncomplex retinal detachment surgery in a cohort of the IRIS Registry.Am J Ophthalmol. 2021; 222: 69-75
- Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment: a prospective randomized multicenter clinical study.Ophthalmology. 2007; 114: 2142-2154
- Surgical failure following primary retinal detachment surgery by vitrectomy: risk factors and functional outcomes.Br J Ophthalmol. 2011; 95: 1234-1238
- Retinal detachment repair by vitrectomy: simplified formulae to estimate the risk of failure.Br J Ophthalmol. 2011; 95: 1239-1244
- Surgical outcome and risk stratification for primary retinal detachment repair: results from the Scottish Retinal Detachment Study.Br J Ophthalmol. 2012; 96: 730-734
- Trends in vitreoretinal procedures for Medicare beneficiaries, 2000 to 2014.Ophthalmology. 2017; 124: 667-673
- Functional status and quality of life measurement among ophthalmic patients.Arch Ophthalmol. 1994; 112: 329-335
- Outcome of surgery after macula-off retinal detachment: results from MUSTARD, one of the largest databases on buckling surgery in Europe.Acta Ophthalmol. 2012; 90: 481-486
- Scleral buckling and pars plana vitrectomy for rhegmatogenous retinal detachment: an analysis of 542 eyes.Curr Eye Res. 2014; 39: 204-211
- Sex differences in the repair of retinal detachments in the United States.Am J Ophthalmol. 2020; 219: 284-294
- Distribution of axial length and ocular biometry measured using partial coherence laser interferometry (IOL Master) in an older white population.Ophthalmology. 2010; 117: 417-423
- Scleral buckle surgery for primary retinal detachment without posterior vitreous detachment.Retina. 2016; 36: 2066-2071
Published online: February 16, 2023
Accepted: January 24, 2023
Received in revised form: January 5, 2023
Received: August 24, 2022
Publication stageIn Press Corrected Proof
Presented at the Annual Meeting of the Association for Research in Vision and Ophthalmology (ARVO), Denver, CO., May 1–4, 2022; the Annual Meeting of the Retina World Congress, Fort Lauderdale, FL., May 12–15, 2022; and the Annual Meeting of the American Society of Retina Specialists (ASRS), New York, NY, July 13–16, 2022.
© 2023 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.