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. 2021 May 13;7(1):39.
doi: 10.1186/s40942-021-00310-y.

Pars plana vitrectomy with/without encircling scleral band for treatment of retinal detachment associated with buphthalmos

Hammouda Hamdy Ghoraba  1   2 , Sameh Mohamed El Gouhary  3 , Ali Ahmed Ali Ghali  4 , Mohamed Ahmed Abdelhafez  2 , Adel Galal Zaky  3 , Mahmoud Leila  5 , Mohamed Amin Heikal  6   7 , Hosam Othman Mansour  8   9
Affiliations

Pars plana vitrectomy with/without encircling scleral band for treatment of retinal detachment associated with buphthalmos

Hammouda Hamdy Ghoraba et al. Int J Retina Vitreous. .

Abstract

Background: To evaluate the results of pars plana vitrectomy (PPV) and silicone oil (SO) tamponade with or without encircling scleral band for repair of rhegmatogenous retinal detachment (RRD) in children with buphthalmos.

Patients and methods: Retrospective comparative nonrandomized interventional case series including consecutive patients who underwent PPV with or without encircling band and SO tamponade for RRD associated with buphthalmos.

Results: The study included 19 eyes of 19 children. Mean age was 8 years, range 3-16 years. Mean follow-up period was 28 months, range 19-63 months. Globe survival has been achieved in 15 out of 19 eyes (79%). Phthisis bulbi was reported in four cases (22%). Eight patients (42%) achieved ambulatory vision. Most eyes initially achieved anatomical success.

Conclusion: Despite the poor visual and anatomical results of RRD repair in eyes with buphthalmos, globe survival might be the rationale for surgery in such cases. Globe preservation could avoid the psychological and social consequences of phthisis bulbi in non-operated children.

Keywords: Buphthalmos; Globe survival after vitrectomy for buphthalmos; Retinal detachment.

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Conflict of interest statement

The authors declare that they have no competing interests.

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