Modified scleral buckling for rhegmatogenous retinal detachment

Objective To analyze the effect and complications of modified scleral buckling combined with intravitreal gas injection for rhegmatogenous retinal detachment. Methods A retrospective case study. Clinical data of 17 eyes of 17 patients treated with modified scleral buckling combined with intravitreal gas injection from January 2013 to May 2014 in Hebei Provincial Eye Hospital were recruited. The mean follow-up time was (8.85±1.87) months with range from 6 to 12 months. The retinal reattachment rate, best corrected visual acuity (BCVA), intraocular pressure (IOP) and complications were analyzed. Results The retina was reattached in 16 patients and the reattachment rate was 94.12%. The postoperative BCVA was improved in 14 cases, which accounted for 82.35%. The postoperative complications included high intraocular pressure in 5 eyes of 5 patients (29.41%), new retinal hole in 1 eye of 1 patient (5.88%), and vitreous opacity in 8 eyes of 8 patients (47.06%). Conclusion Modified scleral buckling combined with intravitreal gas injection is effective and safe for rhegmatogenous retinal detanchment. Key words: Retinal detachment, rhegmatogenous; Scleral buckling, modified; Gas injection, intravitreal