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R. Starr M, H. Ryan E, Obeid A, Ryan C, Gao X, L. Madhava M, M. Maloney S, Z. Adika A, V. Peddada K, Sioufi K, G. Patel L, J. Ammar M, J. Forbes N, Capone Jr. A, G. Emerson G, P. Joseph D, Eliott D, D. Regillo C, Hsu J, P. Gupta O, Yonekawa Y. Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures. JOVR [Internet]. 2021Jul.29 [cited 2024Apr.27];16(3):377–383. Available from: https://knepublishing.com/index.php/JOVR/article/view/9434

https://doi.org/10.18502/jovr.v16i3.9434

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authors

  • Matthew R. Starr

    Matthew R. Starr

    Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA
  • Edwin H. Ryan

    Edwin H. Ryan

    VitreoRetinal Surgery, Minneapolis, MN, US
  • Anthony Obeid

    Anthony Obeid

    Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA
  • Claire Ryan

    Claire Ryan

    VitreoRetinal Surgery, Minneapolis, MN, USA
  • Xinxiao Gao

    Xinxiao Gao

    VitreoRetinal Surgery, Minneapolis, MN, USA
  • Malika L. Madhava

    Malika L. Madhava

    VitreoRetinal Surgery, Minneapolis, MN, USA
  • Sean M. Maloney

    Sean M. Maloney

    VitreoRetinal Surgery, Minneapolis, MN, USA
  • Adam Z. Adika

    Adam Z. Adika

    Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
  • Krishi V. Peddada

    Krishi V. Peddada

    Department of Ophthalmology, Drexel University College of Medicine, Philadelphia, USA
  • Kareem Sioufi

    Kareem Sioufi

    VitreoRetinal Surgery, Minneapolis, MN, USA
  • Luv G. Patel

    Luv G. Patel

    Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA
  • Michael J. Ammar

    Michael J. Ammar

    Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA
  • Nora J. Forbes

    Nora J. Forbes

    VitreoRetinal Surgery, Minneapolis, MN, USA
  • Antonio Capone Jr.

    Antonio Capone Jr.

    Associated Retinal Consultants, Oakland University William Beaumont School of Medicine, Royal Oak, MI, USA
  • Geoffrey G. Emerson

    Geoffrey G. Emerson

    The Retina Center, Minneapolis, MN, USA
  • Daniel P. Joseph

    Daniel P. Joseph

    The Retina Institute, St. Louis, MO, USA
  • Dean Eliott

    Dean Eliott

    Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA
  • Carl D. Regillo

    Carl D. Regillo

    Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA
  • Jason Hsu

    Jason Hsu

    Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA
  • Omesh P. Gupta

    Omesh P. Gupta

    Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA
  • Yoshihiro Yonekawa

    Yoshihiro Yonekawa

    Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA
    https://orcid.org/0000-0002-6847-7169

Published Date

  • Jul 29, 2021
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Scleral Buckling for Primary Retinal Detachment: Outcomes of Scleral Tunnels versus Scleral Sutures

Journal of Ophthalmic and Vision Research (JOVR) / July–September 2021, Volume 16, Issue 3 / Pages 377–383

Abstract

Purpose: There are primarily two techniques for affixing the scleral buckle (SB) to the sclera in the repair of rhegmatogenous retinal detachment (RRD): scleral tunnels or scleral sutures.


Methods: This retrospective study examined all patients with primary RRD who were treated with primary SB or SB combined with vitrectomy from January 1, 2015 through December 31, 2015 across six sites. Two cohorts were examined: SB affixed using scleral sutures versus scleral tunnels. Pre- and postoperative variables were evaluated including visual acuity, anatomic success, and postoperative strabismus.


Results: The mean preoperative logMAR VA for the belt loop cohort was 1.05 ± 1.06 (Snellen 20/224) and for the scleral suture cohort was 1.03 ± 1.04 (Snellen 20/214, p = 0.846). The respective mean postoperative logMAR VAs were 0.45 ± 0.55 (Snellen 20/56) and 0.46 ± 0.59 (Snellen 20/58, p = 0.574). The single surgery success rate for the tunnel cohort was 87.3% versus 88.6% for the suture cohort (p = 0.601). Three patients (1.0%) in the scleral tunnel cohort developed postoperative strabismus, but only one patient (0.1%) in the suture cohort (p = 0.04, multivariate p = 0.76). All cases of strabismus occurred in eyes that underwent SB combined with PPV (p = 0.02). There were no differences in vision, anatomic success, or strabismus between scleral tunnels versus scleral sutures in eyes that underwent primary SB.


Conclusion: Scleral tunnels and scleral sutures had similar postoperative outcomes. Combined PPV/SB in eyes with scleral tunnels might be a risk for strabismus post retinal detachment surgery.

Keywords:

Rhegmatogenous Retinal Detachment, Scleral Buckle, Scleral Suture, Scleral Tunnels, Strabismus

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