Our Summary

This study looked at two different methods of performing a procedure to treat a condition called rhegmatogenous retinal detachment, where the retina (part of the eye) detaches from the back of the eye. The researchers compared a new method using a tool called the Leyla retractor to the traditional method using a chandelier light.

60 adults with the condition were randomly selected to have one of the two procedures. The researchers then recorded and analysed the surgeries, particularly focusing on the amount of time each procedure took (from when a ‘hump’ first appeared in the eye to when it disappeared).

The results showed that the new procedure took slightly less time on average, but the difference wasn’t statistically significant. They also found a positive link between the size of the patient’s eyelid opening and how long the procedure took.

In the group that had the traditional procedure, the light had to be readjusted in about two-thirds of the cases. Importantly, there were no accidents or complications in any of the procedures.

The conclusion was that the new method using the Leyla retractor was safe and effective, especially in patients with larger eyelid openings.

FAQs

  1. What is rhegmatogenous retinal detachment and how is it treated?
  2. What is the difference between the new method using the Leyla retractor and the traditional method using a chandelier light in treating rhegmatogenous retinal detachment?
  3. According to the study, what factors affect the duration of the procedure for treating rhegmatogenous retinal detachment?

Doctor’s Tip

A helpful tip a doctor might give a patient about scleral buckle surgery is to discuss with them the different methods available and how they may impact the surgery process and recovery. It’s important for patients to understand the potential benefits and risks of each option in order to make an informed decision about their treatment.

Suitable For

Scleral buckle surgery is typically recommended for patients with rhegmatogenous retinal detachment, where the retina detaches from the back of the eye. This condition is more common in older adults, but can also occur in younger individuals who have experienced trauma to the eye or have certain eye conditions. Patients who have symptoms such as sudden flashes of light, floaters, or a curtain-like shadow over their vision may be recommended for scleral buckle surgery to repair the detachment and prevent further vision loss.

Timeline

Before scleral buckle surgery:

  • Patient experiences symptoms of retinal detachment such as sudden flashes of light, floaters, or a curtain-like shadow over their field of vision.
  • Patient undergoes a comprehensive eye exam, including a dilated eye exam, to confirm the diagnosis of retinal detachment.
  • Patient discusses treatment options with their ophthalmologist, including the possibility of scleral buckle surgery.
  • Patient may undergo pre-operative tests and evaluations to assess their overall health and suitability for surgery.

After scleral buckle surgery:

  • Patient is typically given general anesthesia or local anesthesia with sedation before the surgery.
  • During the surgery, the ophthalmologist places a silicone band (scleral buckle) around the eye to support the detached retina.
  • After the surgery, the patient may experience some discomfort, redness, or swelling in the eye.
  • Patient may need to wear an eye patch for a few days or weeks to protect the eye and aid in healing.
  • Patient will have follow-up appointments with their ophthalmologist to monitor the healing process and assess the success of the surgery.
  • It may take several weeks to months for the patient to fully recover and regain their vision.

Overall, scleral buckle surgery is a common and effective treatment for retinal detachment, with a high success rate in reattaching the retina and preserving vision.

What to Ask Your Doctor

Some questions a patient should ask their doctor about scleral buckle surgery include:

  1. What is the purpose of the surgery and how will it help treat my retinal detachment?
  2. What are the potential risks and complications associated with scleral buckle surgery?
  3. How long will the procedure take and what is the recovery time?
  4. Will I need to stay in the hospital after the surgery?
  5. What type of anesthesia will be used during the surgery?
  6. What are the success rates of scleral buckle surgery for treating retinal detachment?
  7. Are there any alternative treatments available for my condition?
  8. How often will I need to follow up with you after the surgery?
  9. What should I expect in terms of post-operative care and follow-up appointments?
  10. Are there any restrictions or limitations on activities following the surgery?

Reference

Authors: El Baha S, Ghandour M, Ahmed ISH. Journal: Int Ophthalmol. 2024 Feb 17;44(1):92. doi: 10.1007/s10792-024-03028-6. PMID: 38367129