Usefulness of a standardized scleral buckling technique for primary rhegmatogenous retinal detachment

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Publicado en:PLoS One vol. 20, no. 5 (May 2025), p. e0323881
Autor principal: Imai, Hisanori
Otros Autores: Kishi, Maya, Sotani, Yasuyuki, Yamada, Hiroko, Matsumiya, Wataru, Miki, Akiko, Kusuhara, Sentaro, Nakamura, Makoto
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Public Library of Science
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022 |a 1932-6203 
024 7 |a 10.1371/journal.pone.0323881  |2 doi 
035 |a 3204690574 
045 2 |b d20250501  |b d20250531 
084 |a 174835  |2 nlm 
100 1 |a Imai, Hisanori 
245 1 |a Usefulness of a standardized scleral buckling technique for primary rhegmatogenous retinal detachment 
260 |b Public Library of Science  |c May 2025 
513 |a Journal Article 
520 3 |a PurposeRhegmatogenous retinal detachment (RRD) requires timely treatment to prevent vision loss. Buckling surgery is a vital intervention; however, surgeon proficiency in buckling surgery is declining, and efforts are needed to preserve it. This study evaluated the efficacy of a standardized buckling surgical technique for primary RRD.MethodsIn total, 69 eyes were included. The technique involved placing #287 silicone tires in the retinal break regions with a 9–10-mm mattress suture positioned using the posterior edge of the rectus muscle insertion as a reference point. Circumferential buckling was performed using a silicone band (#240) and silicone sleeve (#270).ResultsThe 6-month follow-up showed an initial anatomical success rate of 92.8%, which reached 100% at the final follow-up. The mean best-corrected visual acuity was 0.16 ± 0.45 pre-operation and 0.05 ± 0.24 at the 6-month follow-up (p = 0.05).ConclusionThis technique utilizes the characteristics of the anatomical positional relationships between the scleral insertion of the lateral rectus muscle, which is reported to overlap with the vitreous base insertion, and the ora serrata and shows promise in identifying retinal breaks and determining buckling positions, indicating its potential effectiveness for the treatment of RRD. The favorable anatomical and visual outcomes support the potential usefulness of this technique in buckling surgeries. 
651 4 |a United States--US 
653 |a Medical records 
653 |a Tomography 
653 |a Surgeons 
653 |a Silicones 
653 |a Rectus muscle 
653 |a Muscles 
653 |a General anesthesia 
653 |a Laboratories 
653 |a Surgical outcomes 
653 |a Tires 
653 |a Surgery 
653 |a Visual acuity 
653 |a Insertion 
653 |a Retinal detachment 
653 |a Statistical analysis 
653 |a Cataracts 
653 |a Sutures 
653 |a Effectiveness 
653 |a Retina 
653 |a Acuity 
653 |a Social 
700 1 |a Kishi, Maya 
700 1 |a Sotani, Yasuyuki 
700 1 |a Yamada, Hiroko 
700 1 |a Matsumiya, Wataru 
700 1 |a Miki, Akiko 
700 1 |a Kusuhara, Sentaro 
700 1 |a Nakamura, Makoto 
773 0 |t PLoS One  |g vol. 20, no. 5 (May 2025), p. e0323881 
786 0 |d ProQuest  |t Health & Medical Collection 
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856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3204690574/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch