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  • Title: Buckle removal in retinal detachment surgery: a consecutive case series.
    Author: Nuzzi G, Rossi S.
    Journal: Acta Biomed; 2008 Aug; 79(2):128-32. PubMed ID: 18788508.
    Abstract:
    PURPOSE: To evaluate the outcome after buckle removal in a consecutive series of treated detachments. METHODS: Segmental and/or encircling buckles were removed in 46 consecutive patients operated upon for rhegmatogenous retinal detachment, showing buckle extrusion, recurrent pain, and diplopia. Patients underwent a preoperative retinal examination, and a six- months postoperative follow-up. RESULTS: Cryopexy of retinal breaks was performed in all 46 patients during the primary surgery. At the time of buckle removal none of the patients underwent argon-laser treatment. The removed buckling material was made of MIRAGEL in 32 cases (74%), silicone sponge in 7 (17%), and silicone band in 4 (9%). The time between the first surgery and buckle removal ranged from 1 to 17 years (8 +/- 7.5, M +/- SD). Neither postoperative complications, nor recurrences of retinal detachment developed. Best corrected visual acuity remained unchanged during the follow-up. Diplopia resolved in all 4 eyes after buckle removal with no need for a strabismus operation, prismatic lenses were required in one case only. CONCLUSIONS: Although the absence of a control group, the adequately applied retinopexy during primary surgery could probably prevent the recurrence of retinal detachment.
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