Evidence map›Paper›PMID 40658612›Full record

ArticleRetina (Philadelphia, Pa.)2025

CLINICAL OUTCOMES OF SCLERAL BUCKLING IN ELDERLY PATIENTS WITH RHEGMATOGENOUS RETINAL DETACHMENT: A Retrospective Cohort Study.

Xinlei Zhu, Mengying Xu, Nan Chen, Lingxiao Lun, Lei Wan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Retina (Philadelphia, Pa.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Xinlei ZhuEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Mengying XuEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Nan ChenEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Lingxiao LunEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.
Lei WanEye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, China.ORCID 0000-0001-8294-5793

Funding

Natural Science Foundation of Qingdao City 23-2-1-196-zyyd-jchShandong Province Medicine and Health Science and Technology Development Plan Project 202207020553
6 · The paper itself

Abstract

purposeTo evaluate the outcomes of scleral buckling in elderly patients with rhegmatogenous retinal detachment and identify independent predictors of postoperative visual outcomes.

methodsThis retrospective study included 290 eyes from 278 patients who underwent scleral buckling between 2018 and 2024. Patients aged ≥60 years were defined as the elderly group; those ≤30 years served as controls. Clinical parameters and surgical outcomes were analyzed. Logistic regression was performed in the elderly group to identify predictors of final visual acuity.

resultsIn elderly patients, scleral buckling achieved a single-surgery anatomical success (SSAS) rate of 98.23%, with 92.03% showing stable or improved vision. Compared to younger patients, the elderly group had lower rates of postoperative intraocular pressure elevation (7.08% vs. 25.99%, P < 0.001) and subretinal hemorrhage (2.65% vs. 9.60%, P = 0.023) but a higher prevalence of posterior vitreous detachment (PVD; 71.7% vs. 17.5%, P < 0.001), which was associated with break location and rhegmatogenous retinal detachment quadrant ( P < 0.001). In the elderly group, multivariate analysis identified baseline visual acuity, macula-on status, and Grade C proliferative vitreoretinopathy as independent predictors of visual outcomes ( P < 0.05).

conclusionScleral buckling remains a safe and effective option for selected elderly rhegmatogenous retinal detachment patients. Proper case selection and timely surgery are essential for achieving favorable outcomes in the vitrectomy era.

Indexed as

Retinal DetachmentScleral BucklingVisual AcuityAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTreatment Outcomeelderly patientpredictorrhegmatogenous retinal detachmentscleral bucklingsingle surgery anatomical success

Identifiers

PMID40658612
PMCPMC12548808

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.