Scleral buckling surgery in patients under 18 years of age


KOÇAK N., Ilhan H., SAATCİ A. O., YAMAN A., Kaynak S., Ergin M.

EVRS Educational Electronic Journal, vol.1, no.1, pp.27-30, 2005 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 1 Issue: 1
  • Publication Date: 2005
  • Journal Name: EVRS Educational Electronic Journal
  • Journal Indexes: Scopus
  • Page Numbers: pp.27-30
  • Dokuz Eylül University Affiliated: Yes

Abstract

Background: To evaluate the clinical features, surgical aspects and visual outcome of scleral buckling surgery in patients under 18 years of age, Methods: Charts of the patients who had scleral buckling surgery at Ophthalmology Department of Dokuz Eylul University between August 1996 and January 2003 were retrospectively reviewed, There were 38 cases with rhegmatogenous retinal detachment under 18 years of age. Patients with penetrating trauma, concomitant vitrectomy and patients who had a follow-up shorter than 6 months were excluded, Thereby, 15 eyes of 15 patients were comprised the study population. We present a 45-year-old patient with arterial hypertension who visited the ophthalmologist for a thorough eye check-up. The patient was also given fluorescein angiography and an echograph. Results: Five of 15 patients (33%) were females and 10 (67%) males, The mean age was 12 years (range: 6-17 years). Ten patients had previous blunt trauma, one morning-glory syndrome and one high myopia. No underlying cause was detected in 3 cases. Five patients had more than one breaks. One patient had giant tear Fourteen of 15 patients had encircling band together with segmental buckle. One patient who had initial encircling band procedure elsewhere received additional radial buckle. Anatomic attachment was achieved with a single surgery in 13 patients (86.6%). Preoperative visual acuities were between light perception and finger counting. Follow-up period was between 6 and 80 months (mean, 26.4 months). Postoperative visual acuities were between light perception and 20/40. At final follow-up. 33% of the eyes had visual acuity 20/200 or better. Final reattachment rate was 87%. Conclusions: In selected cases, anatomic success after scleral buckling surgery in patients under 18 years of age is fairly well. 2005 © EVRS.