ArticleInternational ophthalmology2025
Establishment of a RBL-formula to determine the retinal breaks location for scleral buckling surgery.
Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo establish a retinal break localization (RBL) formula and determine its reliability and influencing factors.
methodsA trigonometric function was used to develop a formula for the distance CB from the limbus (C) to the apex of the retinal breaks (B) based on a model eye, ultra-wide-field fundus (UWF) images, and optical biometric data. The CB values of 43 eyes were compared with the measurement obtained during operation, CB1. The influential and correlating factors analyzed were the axial length (AL), types of the break, macula (off or on), anterior chamber depth (ACD), and white to white corneal diameter (WTW) measurements.
resultsCompared to CB1, CB was longer in the group of all cases (p = 0.032) and the groups with AL ≥ 26 mm (p = 0.007). In the three other AL groups (AL < 26, 25, 24 mm), there were no significant differences between CB and CB1 (p = 0.200, 0.599, 0.246). The categories of the breaks and macula had no significant effect on the reliability of the formula (p = 0.121, 0.085). There was a positive correlation between the AL and the difference between CB and CB1 (Pearson correlation = 0.662, p < 0.001).
conclusionThe proposed formula has value for locating retinal breaks in cases of AL less than 26 mm and provides a new quantitative metric.
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