Curative effects of scleral condensing and buckling operation on long-standing retinal detachment

Objective To investigate the curative effects of scleral condensing and buckling operation on long-standing retinal detachment.Methods Retrospective and non-comparative study was used,53 patients(60 eyes) with long-standing retinal detachment from June,2005 to June,2008 were treated with single scleral buckling operation in 20 eyes(33.3%),scleral buckling and cerclage operation in 40 eyes(66.7%),combined with disinfectant air vitreous injection in operation in 35 eyes(58.3%),and retinal photocoagulation was performed in some patients to promote the retinal reattachment.Retinal reattachment state and relationship between prognosis of visual acuity and duration of the disease were analyzed.Results The follow-up duration was more than 1 year(average 14 months).At the last follow-up,retina was completely reattached in 44 eyes,partially reattached and little sub-retinal fluid localized with no involving macular and progression in 11 eyes,remained detached after disinfectant air vitreous injection in 5 eyes.The effective rate of treating long-standing retinal detachment once a time was 91.7%(55 eyes),the healing rate was 73.3%(44 eyes) mainly based on the examination of ocular fundus.The scleral condensing and buckling for long-standing retinal detachment obviously improved the visual acuity(χ2=38.200,P=0.000).Conclusion Scleral condensing and buckling operation is an easy and effective measure in treating the long-standing retinal detachment.