ABSTRACT

Aim:

To study the outcomes of patients with rhegmatogenous retinal detachment treated with endoillumination assisted scleral buckle procedure in our hospital.

Methodology:

This retrospective case series reviewed the records of 15 patients with rhegmatogenous retinal detachment who underwent Endoillumination assisted scleral buckle surgery.

Results:

The mean age of the patients was 22.0 (SD 11.14) years. Primary retinal reattachment was achieved in 13 patients (86.7%) after one surgical procedure. One patient had perfluoropropane (C3F8) gas injection to augment the buckle while the other one underwent pars-plana vitrectomy due to proliferative vitreo-retinopathy (PVR). Final attachment was 100%. The mean best corrected visual acuity improved from logMAR of 1.54 (SD 0.51) to 1.00 (SD 0.51) which was statistically significant (P= 0.00), while the mean spherical equivalent changed from -0.95DS (SD 4.12) to -2.68DS (SD 4.15) Which was also statistically significant (P=0.003).Two patients experienced elevated intraocular pressure post operatively and were put on anti-glaucoma medication.

Conclusion:

Endoilluminator assisted sclera buckle surgery provides a promising modification to address the shortcomings of the traditional scleral buckle technique and provided the attendant risks are managed it could be acceptable to many retinal surgeons.


CONTACT DETAILS

 

Arif Hayat Khan Pathan, PW Situma, Mostafizur Rahman, Mohammad Ibn Abdul Malek, Mominul Islam
Ispahani Islamia Eye Institute and Hospital
Dhaka
Bangladesh
Email : pathan.dmc@gmail.com
Cell Phone: +8801717200688
Work Phone: +889610998333