J Korean Ophthalmol Soc.  1999 Jul;40(7):1918-1923.

Scleral Encircling for Complex Types of Rhegmatogenous Retinal Detachment

• Kim BG
• Ahn BC
• Cho NC

Abstract

We performed treat the 41 eyes of rhegmatogenous retinal detachment to scleral encircling.The causes of retinal detachment were unidentifiable breaks (10 eyes), high myopia (8 eyes), pseudophakia or aphakia (8 eyes), giant tear (8 eyes)and multiple holes (7 eyes). Overall the reattachment ratewas 80.5% (33/41 eyes). The anatomic success rate was relatively high (85.7%)in eyes with giant tear, high myopia and multiple hole but relatively low in eyes with breaks unidentified (60%) or pseudophakic and aphakic retinal detachment (75%). Among those 33 eyes, functional success was achived in 27 eyes (81.8%). We achieved higher functional success rate in pseudophakia or aphakia, multiple hole and high myopia (over 83.3%) but low functional success rate in unidentifiable breaks (66.7%)and giant tear (71.4%). Our results suggest other treatments such as pars plana vitrectomy should be considered to treat eyes with retinal detachment of breaks unidentified, although scleral encircling has been used conventially.

Keyword

Retinal detachment; Scleral encircling; Unidentifiable break; Reattachment

MeSH Terms

Aphakia
Myopia
Pseudophakia
Retinal Detachment*
Retinaldehyde*
Vitrectomy
Retinaldehyde