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. 2022 Aug 1;42(8):1498-1502.
doi: 10.1097/IAE.0000000000003499.

EVALUATION OF RETINAL DISPLACEMENT FOLLOWING PRIMARY SCLERAL BUCKLING FOR MACULA-INVOLVING RHEGMATOGENOUS RETINAL DETACHMENT

Landon J Rohowetz  1 , Abdulla R Shaheen  1 , Jonathan F Russell  1   2 , Noy Ashkenazy  1 , Prashanth G Iyer  1 , Jayanth Sridhar  1 , Harry W Flynn Jr  1 , Nicolas A Yannuzzi  1
Affiliations

EVALUATION OF RETINAL DISPLACEMENT FOLLOWING PRIMARY SCLERAL BUCKLING FOR MACULA-INVOLVING RHEGMATOGENOUS RETINAL DETACHMENT

Landon J Rohowetz et al. Retina. .

Abstract

Purpose: To evaluate the incidence and degree of retinal displacement following scleral buckling surgery for macula-involving rhegmatogenous retinal detachment.

Methods: Retrospective interventional case series comprised of patients treated with primary scleral buckling procedure without gas tamponade for macula-involving rhegmatogenous retinal detachment and imaged postoperatively with fundus autofluorescence imaging between June 1, 2016 and July 25, 2021. Clinical notes, operative reports, fundus autofluorescence photographs, and optical coherence tomography images were reviewed. The presence and degree of retinal displacement were recorded.

Results: Twelve eyes of 11 patients were included. One (8%) eye with an epiretinal membrane demonstrated 0.1 mm of retinal displacement along the superior arcade and in the superotemporal periphery. The remainder of eyes (92%) did not show any identifiable signs of retinal displacement.

Conclusion: Retinal displacement does not seem to be a frequent complication of primary scleral buckling surgery for macula-involving rhegmatogenous retinal detachment.

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Figures

Figure 1.
Figure 1.
Fundus autofluorescence (A) demonstrating 0.1 mm of retinal displacement after scleral buckling surgery in a 59-year-old male patient with a history of a rhegmatogenous retinal detachment. Arrowheads designate location of retinal vessel printing. Corresponding color fundus photography demonstrates temporal scarring (B) and optical coherence tomography (C) reveals a mild epiretinal membrane with no other abnormalities.
Figure 2.
Figure 2.
Fundus autofluorescence (A,D) demonstrating no retinal displacement after scleral buckling surgery. Color fundus photography (B,E) demonstrates the presence of a scleral buckle. Optical coherence tomography demonstrates trace subretinal fluid in patient 1 (C) and no subretinal fluid in patient 2 (F).
See this image and copyright information in PMC

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