Our Summary

The research paper studies the long-term changes in the eyes of patients who had a specific type of eye surgery, called scleral buckling (SB), to treat a condition called rhegmatogenous retinal detachment (RRD). The study looked at 34 eyes from 17 patients who had the surgery over a period of roughly 4 years.

The researchers found that after the surgery, the length of the eye (from front to back) increased by 0.83 millimeters on average, and patients’ eyesight became more shortsighted. They also discovered that the only factor that could predict this increase in eye length was the length of the eye before the surgery.

In addition, the study found a slight decrease in the depth of the anterior chamber (the front part of the eye) after surgery, but no long-term changes in the shape of the front part of the eye.

The researchers suggest that special calculations should be used when deciding the power of the lens to be inserted in patients who need cataract surgery after having the SB surgery.

FAQs

  1. What is scleral buckling surgery and what condition does it treat?
  2. What changes in the eye were observed in patients who underwent scleral buckling surgery for rhegmatogenous retinal detachment?
  3. What factors can predict the increase in eye length after scleral buckling surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about scleral buckle surgery is to be prepared for potential changes in vision, such as becoming more shortsighted. It’s important to discuss any concerns or changes in vision with your eye doctor so they can adjust your treatment plan accordingly. Additionally, make sure to follow all post-operative instructions carefully to ensure a successful recovery.

Suitable For

Patients who are typically recommended for scleral buckle surgery are those with rhegmatogenous retinal detachment (RRD), a condition where a tear or hole in the retina causes the retina to detach from the back of the eye. Scleral buckle surgery is a common treatment for RRD and is often recommended for patients with this condition to reattach the retina and prevent further vision loss. Other factors that may influence the decision to recommend scleral buckle surgery include the severity of the detachment, the location of the tear or hole in the retina, and the overall health of the eye.

Timeline

Before scleral buckle surgery:

  • Patient experiences symptoms of rhegmatogenous retinal detachment, such as sudden flashes of light, floaters in vision, or a curtain-like shadow over the field of vision.
  • Patient undergoes a comprehensive eye examination, including imaging tests like ultrasound or optical coherence tomography, to confirm the diagnosis.
  • Surgeon discusses the risks and benefits of scleral buckle surgery, which involves placing a silicone band around the eye to support the detached retina.

After scleral buckle surgery:

  • Patient undergoes post-operative care, which may include wearing an eye patch, using eye drops, and avoiding strenuous activities.
  • Patient may experience temporary blurry vision or discomfort, which gradually improves over time.
  • Follow-up appointments are scheduled to monitor the healing process and ensure the retina has successfully reattached.
  • Long-term changes in eye length and vision may occur, as found in the research study, requiring potential adjustments in future treatments like cataract surgery.

What to Ask Your Doctor

  1. What is the purpose of scleral buckle surgery and how does it work to treat retinal detachment?
  2. What are the potential risks and complications associated with scleral buckle surgery?
  3. How long is the recovery period after scleral buckle surgery and what can I expect during the healing process?
  4. Will I need to wear any special eye protection or take any precautions after the surgery?
  5. How will scleral buckle surgery affect my vision in the long term?
  6. Are there any specific factors or conditions that could affect the success of the surgery in my case?
  7. Will I need to undergo any additional procedures or follow-up appointments after the surgery?
  8. How will scleral buckle surgery impact my ability to drive, work, or perform other daily activities?
  9. Are there any lifestyle changes or precautions I should take to protect my eyesight after the surgery?
  10. How should I prepare for scleral buckle surgery and what should I expect on the day of the procedure?

Reference

Authors: Albanese GM, Cerini A, Visioli G, Marenco M, Gharbiya M. Journal: BMC Ophthalmol. 2021 Apr 10;21(1):172. doi: 10.1186/s12886-021-01928-0. PMID: 33838640