Anatomic outcome of scleral buckling surgery in primary rhegmatogenous retinal detachment

Purpose: To evaluate the factors affecting the anatomic success of treatment of retinal detachments (RD) by scleral buckling surgery. Methods: One-hundred and two eyes of 102 patients with rhegmatogenous RD operated on by scleral buckling surgery were included in the study. Results were analyzed according to the anatomic status of the retina at the most recent follow-up examination. The chi-squared test was used to determine the relationship between preoperative and intraoperative variables and anatomic results, and the relative risk of failure was determined for each variable. Results: Retinal reattachment was achieved in 85 of 102 eyes (82.5%) after initial surgery. The success rate for anatomic reattachment was 95% after two operations. After three operations reattachment was achieved for 98 eyes (96%). Predictive factors for anatomic failure (P <0.05) were the presence of grade C1 PVR and multiple breaks. Conclusion: Grade C1 PVR and multiple breaks were found to be significant risk factors for anatomic failure in rhegmatogenous RD treated by conventional buckling surgery. © Springer Science+Business Media, Inc. 2006.