Disease relevance of Scleral Buckling

• OBJECTIVE: The purpose of the study was to obtain information on the encapsulation of two nonabsorbable biomaterials (silicone and hydrogel) used as explants in scleral buckling in retinal detachment surgery [1].
• The authors conclude that retrobulbar irrigation with bupivacaine is a safe and effective way to achieve postoperative pain relief after surgery for scleral buckling [2].
• CONCLUSIONS: Methicillin-resistant S. aureus is an important causative pathogen of scleral buckling infections, particularly in patients with retinal detachment associated with atopic dermatitis [3].
• Multiple scleral buckling surgeries, high myopia, aphakia, and intraocular inflammation were the main risk factors [4].
• CONCLUSION: Risk factors for the development of intraoperative SCH during PPV are high myopia, previous RD surgery, rhegmatogenous RD, cryotherapy, scleral buckling, external drainage of subretinal fluid, and intraoperative systemic hypertension [5].

High impact information on Scleral Buckling

• In vivo studies were performed in seven patients who underwent lens implantation (n = 1), scleral buckling with hydrogel or silicone (n = 6), and retinopexy with gas or silicone oil (n = 6) [6].
• INTERVENTION: Pars plana vitrectomy and scleral buckling procedure in the left eye with intravenous and intravitreal amphotericin in both eyes [7].
• Retrobulbar bupivacaine irrigation for postoperative pain after scleral buckling surgery. A prospective study [2].
• The authors conducted a prospective, randomized, double-masked clinical trial to determine if retrobulbar irrigation with bupivacaine hydrochloride 0.75% (Marcaine) has an effect on postoperative pain after scleral buckling surgery [2].
• Pneumatic retinopexy is advocated to treat some retinal detachment cases, in part to avoid the complication of induced strabismus sometimes associated with scleral buckling procedures (SBPs) [8].

Chemical compound and disease context of Scleral Buckling

• Two patients with acute retinal necrosis were treated with vitrectomy, intravitreal infusion of acyclovir, and prophylactic scleral buckling procedures [9].
• Sodium hyaluronate (Healon) was used in conjunction with pars plana vitrectomy and scleral buckling to manage unilateral giant retinal tears of 180 degrees or more with severe folding in six consecutive cases [10].
• METHOD: Patients with a primary uncomplicated rhegmatogenous retinal detachment requiring scleral buckling and cryotherapy were randomly allocated to receive either indomethacin or placebo [11].
• Cystoid macular edema after scleral buckling responsive to acetazolamide [12].
• Preoperative use of flurbiprofen does not significantly decrease intraoperative miosis during scleral buckling procedures [13].

Anatomical context of Scleral Buckling

• This study aimed to evaluate quantitatively the time course of changes in ciliary body thickness and AC depth (ACD) before and after the scleral buckling procedure using ultrasound biomicroscopy [14].

Associations of Scleral Buckling with chemical compounds

• One hundred eyes in 98 patients were studied by fluorescein angiography and stereo color photography six weeks after successful scleral buckling surgery [15].
• A randomized and masked prospective series of 126 scleral buckling procedures was undertaken to test a mixture of bupivacaine (Marcaine), lidocaine (Xylocaine), and epinephrine against lidocaine and epinephrine [16].
• Use of indomethacin for pain relief following scleral buckling surgery [11].
• We conclude that patients having extensive scleral buckling procedures should all receive prophylactic acetazolamide unless it is specifically contraindicated [17].
• The Scleral Buckling Versus Primary Vitrectomy in Rhegmatogenous Retinal Detachments Study (SPR Study) is designed to compare primary vitrectomy and scleral buckling techniques in these patients [18].

Gene context of Scleral Buckling

• Intravitreous tissue plasminogen activator injection and pneumatic displacement in the management of submacular hemorrhage complicating scleral buckling procedures [19].
• Candidates for pneumatic retinopexy can usually be treated by a radial scleral buckling procedure, and therefore the risk of postoperative strabismus is low if this technique is selected [8].
• Analysis of forty Stage V RLF eyes which underwent lensectomy, pars plicata vitrectomy, membrane peeling and scleral buckling surgery with a minimum 6-month follow-up is presented [20].
• Complications of amyloid or vitrectomy included retinal detachment requiring scleral buckling in 17% of eyes and glaucoma requiring filtering surgery in 17% of eyes [21].
• Scleral buckling alone may be the treatment of choice in grade C-1 eyes [22].

Analytical, diagnostic and therapeutic context of Scleral Buckling

• Laser in situ keratomileusis to correct myopia after scleral buckling for retinal detachment [23].
• BACKGROUND: Intraoperative retrobulbar bupivacaine injection provides effective analgesia after scleral buckling procedures performed under general anesthesia, but is associated with significant risks [24].
• Forty patients undergoing scleral buckling procedures with general anesthesia were randomized to intraoperative extraconal bupivacaine injection (bupivacaine group. n = 21) or to no such treatment (control group, n = 19) [24].
• METHODS: The authors performed a retrospective study of patients who presented with strabismus following scleral buckling procedures [25].
• RESULTS: Over 90% of scleral buckling procedures resulting in significant strabismus were performed under local anesthesia [25].

References