Materials Used in Conventional Retinal Detachment Surgery and Properties

2019 ◽  
pp. 163-167
Keyword(s):  
Side Effects ◽  
Retinal Detachment ◽  
Gold Standard ◽  
Scleral Buckling ◽  
Retinal Detachment Surgery ◽  
Vitreoretinal Traction ◽  
Materials Used ◽  
Basic Features ◽  
Surgical Manipulation

The main fulcrum of the Conventional Retinal Detachment (RD) surgeon is to reattach the retina by reducing the vitreoretinal traction with the technique of externally collapsing the sclera. Conventional RD or scleral buckling surgery with a long history, there are two basic methods in which explants and implants are used. Nowadays, the more commonly used method is explanted. Basic features of explant material to be used in scleral buckling surgery; ease of surgical manipulation, effective collapse, and minimal tissue side effects. These explant materials can be used separately as permanent and absorbable (temporary) materials. Silicone biomaterial from these explants appears to be the most appropriate option and is considered the gold standard.

Persistent Subretinal Fluid Mimicking Central Serous Retinopathy after Scleral Buckling Surgery: Possible Vortex Vein Compression Role

2017 ◽  
Vol 27 (2) ◽  
pp. e54-e56 ◽  
Author(s):  
Chiara Giuffrè ◽  
Adriano Carnevali ◽  
Marco Codenotti ◽  
Eleonora Corbelli ◽  
Luigi A. De Vitis ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Indocyanine Green Angiography ◽  
Serous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Central Serous Retinopathy ◽  
Retinal Detachment Surgery ◽  
Encircling Band ◽  
Vortex Vein ◽  
Sd Oct

Purpose To describe the case of a woman who developed persistent subretinal fluid in the macular region after the placement of encircling band for retinal detachment surgery, possibly due to vortex vein compression. Methods Case report. Results A 66-year-old woman diagnosed with central serous retinopathy presented with poor vision and metamorphopsia in the left eye (LE). Her visual acuity had deteriorated to 20/100 in LE after retinal detachment surgery with scleral buckling 8 months before. Multimodal imaging including fundus autofluorescence and fluorescein angiography disclosed a gravitational hyperfluorescent area involving the macular region that appeared to originate from the superotemporal quadrant in correspondence with the buckling. This area corresponded to a serous retinal detachment on structural spectral-domain optical coherence tomography (SD-OCT). Interestingly, on indocyanine green angiography, the encircling band of the scleral buckling appeared located at the emergence of the superotemporal vortex vein. Based on these findings, the patient was diagnosed with gravitational serous retinal detachment secondary to vortex vein compression. Successful rapid visual recovery and decrease of retinal fluid on SD-OCT was achieved with prompt surgery of scleral buckling removal, confirming the diagnosis. Conclusions Choroidal veins can be obliterated during retinal detachment surgery, especially when retinal breaks are posterior to the equator. Indocyanine green angiography is the gold standard to study choroidal circulation and in our case allowed us to visualize the compression of the superotemporal vortex vein at the site of scleral buckling.

Conventional Detachment Surgery in Rhegmatogenous Retinal Detachment; Indications and Techniques

2019 ◽  
pp. 187-196
Keyword(s):  
Retinal Detachment ◽  
Complication Rate ◽  
Rhegmatogenous Retinal Detachment ◽  
Subretinal Fluid ◽  
Scleral Buckling ◽  
Conventional Surgery ◽  
Surgical Method ◽  
Retinal Detachment Surgery ◽  
Lower Complication ◽  
Lower Complication Rate

Conventional surgery with a lower complication rate is recommended in cases of rhegmatogenous retinal detachment. Conventional retinal detachment surgery is still an appropriate technique for the treatment of most of the cases with rhegmatogenous retinal detachment even today. The main steps of the conventional retinal detachment surgeries are cryopexy, scleral buckling, encircling, and removal of subretinal fluid. Successful results have been reported in this surgical method in uncomplicated cases. This review mentions about the conventional detachment surgery in the main aspects.

scholarly journals Retinal Detachment Surgery at Nepal Eye Hospital

2009 ◽  
Vol 48 (174) ◽  
pp. 107-10
Author(s):  
O K Malla ◽  
S Shrestha ◽  
S P Shrestha ◽  
R N Byanju ◽  
D B Karki
Keyword(s):  
Risk Factors ◽  
Visual Acuity ◽  
Retinal Detachment ◽  
Retrospective Analysis ◽  
Promising Result ◽  
Scleral Buckling ◽  
Retinal Break ◽  
Retinal Detachment Surgery ◽  
Postoperative Visual Acuity ◽  
Lattice Degeneration

Introduction:Retinal diseases are one of the important causes of blindness in Nepal. This study is done with objectives of fi nding the outcome of retinal detachment surgery. Methods:A retrospective analysis of 110 patients who underwent retinal detachment surgery over fi ve year period was conducted in Nepal.Results:Retinal re-attachment was achieved in 94.4 % and postoperative visual acuity of 6/36 to 6/6 was achieved in 52.7% (As possible risk factors, myopia was present in 34.5% ophkia in 29%, trauma in 9%, and lattice) degeneration was 5.4%. Conclusions:The study has shown a promising result for the retinal detachment surgery.Key Words: retinal break, retinal detachment, scleral buckling, vitrectomy

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