Background and objective. The purpose of the study is to compare the drainage of subretinal fluid (SRF) in a scleral pocket (SP) with incision parallel to the limbus to drainage through a simple radial scleral thinning (ST), during scleral buckling surgery for rhegmatogenous retinal detachment (RRD). Patients and methods. Retrospective cohort study of one hundred sixty-nine consecutive buckling surgery for RRD, where a drainage puncture was performed through SP in eighty-five cases and through previous radial ST in eighty-four cases. Results. PT shows significant lower complication rate. The incidence of retinal incarceration or formation of a retinal hole at the first drainage site is lower in PT group (p=0.0285). During surgery choroidal detachment have been observed in a higher percentage of cases in the SP group (p=0.0379). At the end of the surgery a certain amount of SRF behind the buckling was significant in ST group (p=0.0026). Conclusion. The SP drainage technique appears to be a useful, effective and safe method to drain SRF.
Drainage of subretinal fluidduring scleral buckling surgery for rhegmatogenous retinal detachment / Malagola, Romualdo; Pannarale, Luigi; Tortorella, P; Arrico, Loredana. - In: IL GIORNALE DI CHIRURGIA. - ISSN 0391-9005. - STAMPA. - 36:3(2015), pp. 106-111. [10.11138/gchir/2015.36.3.106]
Drainage of subretinal fluidduring scleral buckling surgery for rhegmatogenous retinal detachment
MALAGOLA, RomualdoPrimo
;PANNARALE, LuigiSecondo
;Tortorella, PPenultimo
;ARRICO, Loredana
Ultimo
2015
Abstract
Background and objective. The purpose of the study is to compare the drainage of subretinal fluid (SRF) in a scleral pocket (SP) with incision parallel to the limbus to drainage through a simple radial scleral thinning (ST), during scleral buckling surgery for rhegmatogenous retinal detachment (RRD). Patients and methods. Retrospective cohort study of one hundred sixty-nine consecutive buckling surgery for RRD, where a drainage puncture was performed through SP in eighty-five cases and through previous radial ST in eighty-four cases. Results. PT shows significant lower complication rate. The incidence of retinal incarceration or formation of a retinal hole at the first drainage site is lower in PT group (p=0.0285). During surgery choroidal detachment have been observed in a higher percentage of cases in the SP group (p=0.0379). At the end of the surgery a certain amount of SRF behind the buckling was significant in ST group (p=0.0026). Conclusion. The SP drainage technique appears to be a useful, effective and safe method to drain SRF.File | Dimensione | Formato | |
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Malagola_Drainage of subretinal_2015.pdf
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