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
Ophthalmologyjournal_title
Ophthalmologyauthors
Stone TW,Siddiqui N,Arroyo JG,McCuen BW 2nd,Postel EAdoi
10.1016/s0161-6420(00)00212-8subject
Has Abstractpub_date
2000-10-01 00:00:00pages
1923-6issue
10eissn
0161-6420issn
1549-4713pii
S0161-6420(00)00212-8journal_volume
107pub_type
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