Observational studyBMC ophthalmology2021
Long-term ocular biometric variations after scleral buckling surgery in macula-on rhegmatogenous retinal detachment.
Observational study in BMC ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- Vitrectomy with and without encircling band for pseudophakic retinal detachment: VIPER study report No. 4-long-term results.The British journal of ophthalmology · 2025Trial
- [Scleral buckling for rhegmatogenous retinal detachment-The value of buckle procedures in modern retinal surgery].Die Ophthalmologie · 2026Review
- Usefulness of a standardized scleral buckling technique for primary rhegmatogenous retinal detachment.PloS one · 2025Article
- Refractive and surgical outcomes of scleral buckling with or without vitrectomy in primary pseudophakic retinal detachment.International journal of ophthalmology · 2025Article
- Cataract Outcomes Following Scleral Buckle Surgery for Retinal Detachment.Clinical ophthalmology (Auckland, N.Z.) · 2024Article
- Absorbable suture for band tightening of scleral buckling in pseudophakic rhegmatogenous retinal detachment: a modified surgical technique and a 6-month follow-up.Medical hypothesis, discovery & innovation ophthalmology journal · 2022Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMyopic shift and biometric ocular changes have been previously observed after scleral buckling (SB) surgery in rhegmatogenous retinal detachment (RRD), but long term-term outcomes had not yet been explored. The purpose of present study is to evaluate long term ocular biometric changes in patients with primary macula-on RRD treated with SB.
methodsIn this retrospective, observational study, we reviewed the medical records of patients undergoing SB surgery for macula-on RRD. Ocular biometry was performed before and at the most recent visit after surgery. Axial length (AXL), anterior chamber depth (ACD), anterior corneal astigmatism and spherical equivalent in treated eyes were compared before and after surgery as well as with those of fellow eyes.
resultsThirty-four eyes of 17 patients with a mean age of 57.0 ± 8.9 years were included. The mean follow-up duration was 50.9 ± 21.9 months (median 53.0; range 12 to 82 months). A significant postoperative AXL increase of 0.83 mm and a concomitant myopic shift of 1.35 diopters was observed in the operated eyes (p < 0.0001). The preoperative AXL was the only predictive factor of AXL change after surgery (B = 0.152, 95% CI 0.059 to 0.245, β = 0.668, P = 0.003). Compared to fellow eyes, a postoperative ACD shallowing of 0.1 mm was found in operated eyes (p < 0.05), while there were no long-term changes of anterior corneal astigmatism.
conclusionsWe show that the preoperative AXL is the only predictive factor of AXL increase after SB surgery. Scleral encircling induces a concomitant long-term shallowing of the AC, therefore fourth generation intraocular lens (IOL) power calculation formulae should be used for patients requiring cataract surgery after SB.
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