EPIDEMIOLOGICAL FINDINGS AND RESULTS OF SCLERAL BUCKLING IN PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT AT KHALILI HOSPITAL, SHIRAZ, 1991-2001

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FARVARDIN M.; MEHRYAR M.; ASHRAF H.; MAHDIZADEH M.; RAHIMI M.; HOSSEINI H.; AHMADI S.; BAGHERI B.

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Journal: JOURNAL OF MEDICAL RESEARCH (JMR) Year:2004 | Volume:3 | Issue:1 Page(s): 37-47

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Title

EPIDEMIOLOGICAL FINDINGS AND RESULTS OF SCLERAL BUCKLING IN PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT AT KHALILI HOSPITAL, SHIRAZ, 1991-2001

Author(s)

Keywords

RHEGMATOGENOUS RETINAL DETACHMENTQ4

EPIDEMIOLOGYQ4

SCLERAL BUCKLINGQ4

Abstract

Background: RHEGMATOGENOUS RETINAL DETACHMENT (RRD) is a common cause of reduced visual acuity which may be prevented or treated in most situations. Knowledge of epidemiological characteristics of RRD can lead to an increase in the insight of physicians in the management of these patients. The aim of this study was to evaluate the epidemiological characteristics of RRD and long term outcome of primary SCLERAL BUCKLING in patients who underwent this procedure as a routine management for RRD at Khalili Hospital in Shiraz. Patients and Methods: In this retrospective study, charts of 400 eyes belonging to 360 patients with RRD who underwent SCLERAL BUCKLING from 1991 to 2001, with complete follow-up data were reviewed. In this study, results of first SCLERAL BUCKLING were evaluated. Reattachment of retina at sixth postoperation month was defined as late anatomical success and visual acuity of ≥20/400, 6 months post-operatively, was defined as the late functional success. Results: Forty percent of the eyes were aphakic or pseudophakic, 32 percent had lattice degeneration, 23 percent were myopic, 14 percent were post-traumatic and 18 percent were without the mentioned risk factors. The mean age of patients was 47±19.84 years (4-80 years). Most of the patients were more than 60 years old but there was another peak in 10-19 year-olds. RRD was more common in males (62.5%). Retinal detachment with aphakia or pseudophakia was more common in males (p=0.01) but lattice degeneration was' more common in females (p=0.01). There was no significant male predominance in traumatic patients (p=0.1). There was no significant difference between warm and cold seasons in initiation of the detachment (p=0.067). Seventy-three percent of the eyes had subtotal RD and in 86.5 percent of eyes, macula was detached. Preoperatively, proliferate vitreoretinopathy (grades B or Cl) was seen in 49.5 percent of the eyes. Round hole was seen in 49.3 percent of the eyes, flap tear in 38.9 percent, operculated tear in 2.9 percent and dialysis in 8.9 percent. In 20 percent, no hole was detected. The most common site for holes was infratemporal, but for tears, it was supratemporal and for dialysis it was infratemporal. Bilateral detachment was seen in 11.11 percent. The late anatomical success rate was 79.5 percent and late functional success rate was 46 percent. In comparison to other risk factors, success was lower in aphhakic or pseudophakic patients (p<0.001). Conclusion: SCLERAL BUCKLING is a successful method in treating RRD. Exact determination of risk factors and attention to them preoperatively, can increase the success rate.

Cites

RHEGMATOGENOUS RETINAL DETACHMENT (EYE RESEARCH CENTER-MASHHAD UNIVERSITY OF MEDICAL SCIENCES)

References

بررسی نتایج یک صد مورد عمل جراحی جداشدگی شبکیه به روش اسکرال باکلینگ

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APA: Copy

FARVARDIN, M., MEHRYAR, M., ASHRAF, H., MAHDIZADEH, M., RAHIMI, M., HOSSEINI, H., AHMADI, S., & BAGHERI, B.. (2004). EPIDEMIOLOGICAL FINDINGS AND RESULTS OF SCLERAL BUCKLING IN PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT AT KHALILI HOSPITAL, SHIRAZ, 1991-2001. JOURNAL OF MEDICAL RESEARCH (JMR), 3(1), 37-47. SID. https://sid.ir/paper/408299/en

Vancouver: Copy

FARVARDIN M., MEHRYAR M., ASHRAF H., MAHDIZADEH M., RAHIMI M., HOSSEINI H., AHMADI S., BAGHERI B.. EPIDEMIOLOGICAL FINDINGS AND RESULTS OF SCLERAL BUCKLING IN PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT AT KHALILI HOSPITAL, SHIRAZ, 1991-2001. JOURNAL OF MEDICAL RESEARCH (JMR)[Internet]. 2004;3(1):37-47. Available from: https://sid.ir/paper/408299/en

IEEE: Copy

M. FARVARDIN, M. MEHRYAR, H. ASHRAF, M. MAHDIZADEH, M. RAHIMI, H. HOSSEINI, S. AHMADI, and B. BAGHERI, “EPIDEMIOLOGICAL FINDINGS AND RESULTS OF SCLERAL BUCKLING IN PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT AT KHALILI HOSPITAL, SHIRAZ, 1991-2001,” JOURNAL OF MEDICAL RESEARCH (JMR), vol. 3, no. 1, pp. 37–47, 2004, [Online]. Available: https://sid.ir/paper/408299/en

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