Results of scleral buckling in rhegmatogenous retinal detachment at Qazvin Booali Sina Hospital

Background: Retinal detachment denotes separation of the sensory retina from the underlying retinal pigment epithelium. The most common type of retinal determent is the rhegmatogenous retinal detachment. Scleral buckling is the most well-known and effective surgical technique. Objective: To evaluate the characteristics of patients with rhegmatogenous retinal detachment, predisposing factors and surgical results of scleral buckling at eye center of Qazvin University of Medical Sciences. Methods: This was a descriptive analytical study carried out on existing data of 118 patients with clinical diagnosis of rhegmatogenous retinal detachment with minimum follow up of 3 months in 2004. All patients were examined using SLM and indirect ophthalmoscopy. Data on demographic characteristics and surgical outcomes were collected and further analyzed, statistically. Success in scleral buckling procedure was defined as attachment of retina by a single procedure and failure in cases with need for more than one course of action. Findings: A total of 118 eyes from 118 patients (76 males and 42 females) aged 12-81 with a mean age of 53.75+ 17.4 were studied. The mean follow up duration was 11.5 months. Success rate of operation in patients with PVR A;B was 96% and with PVR A.B. and C1 pre-operation 92.2%. Extent of detachment, longer duration of retinal detachment, aging, and PVR c1 were shown to have adverse effects on results of surgery. Conclusion: Scleral buckling is an appropriate surgical procedure to correct rhegmatogenous retinal detachment however, many factors such as extent of retinal detachment PVR c1, aging, and longer duration of retinal detachment influence the success rate of operation.