Primary scleral buckling in open-globe injury involving the posterior segment.

Abstract:

PURPOSE:To determine whether scleral buckle placement at the time of primary repair of open-globe injury of the posterior segment is beneficial. DESIGN:Retrospective, comparative, nonrandomized interventional study. PARTICIPANTS:One hundred twenty-five open-globe injuries treated at the Duke University Medical Center from June 1980 to May 1997. METHODS:Open-globe injuries were classified with the Open-globe Injury Classification. Eyes that had zone 2 and 3 injuries that had a primary buckle placed were compared with those that did not. MAIN OUTCOME MEASURES:Subsequent retinal detachment, visual outcome, and need for subsequent scleral buckling. RESULTS:The rate of retinal detachment and the visual outcome were similar in the two groups. More than half of those who did not have a primary buckle placed had subsequent scleral buckling surgery. CONCLUSIONS:Many open-globe injuries of the posterior segment require eventual scleral buckle. There may be a role for placement of a scleral buckle at the time of primary repair.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Stone TW,Siddiqui N,Arroyo JG,McCuen BW 2nd,Postel EA

doi

10.1016/s0161-6420(00)00212-8

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

1923-6

issue

10

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(00)00212-8

journal_volume

107

pub_type

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