Mohammad Idrees Adhi, Mohammad Aslam Jan, Abrar Ali, Fawad Rizvi, Misbah UI Aziz, Khwaja Sharif ul Hasan.
Retinal Detachment Surgery by Scleral Buckling Procedure: Experience in 175 Cases.
Pak J Ophthalmol Jan ;12(3):85-90.

We report 175 cases of scleral buckling procedures In 156 patients with rhegmatogenous retinal detachment (RRD). Twenty-six (16.66%) patients were only-eyed Nineteen (12.18%) patients had bilateral detachment and 29 (18.58%) needed prophylactic treatment to the fellow eye. Seventy (40%) eyes were aphakic. In phakic group, 52 (29.71%) eyes were myopic. Macula was off in 139 ((79.42%) eyes on presentation. Retinal breaks were most common in superotemporal areas. Horseshoe-shaped tear was the most common break. Drainage-Air injection, Cryotherapy and Explant ((D-ACE) technique was used in 104 eyes (59.42%). During drainage subretinal hemorrhage occurred in 12 (6.9%) eyes, while retinal incarceration occurred in 4 (2.28%) eyes following intravitreal air injection. Follow-up ranged from a minimum of four weeks to a maximum of five years. Surgical failure after one or two procedures occurred in 16 (9.14%) eyes. Endophthalmitis occurred in one eye. Plomb exposure in 5 (2.85%) cases and explant infection in 2 (1.14%) eyes warranted their removal. Anatomical success was achieved in 158 (90.28%) eyes. Preretinal fibrosis was the commonest reason for impaired vision in attached retinae. Visual acuity of 6112 and better was achieved in 40 (22.85%) eyes.

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