Scleral rupture during retinal detachment surgery: Risk factors, management options, and outcomes

Homayoun Tabandeh, Christina Flaxel, Paul M. Sullivan, Peter K. Leaver, Harry W. Flynn, Joyce Schiffman

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: To evaluate the potential risk factors, management strategies, and outcomes of scleral rupture during retinal detachment (RD) surgery. Design: Case-control study. Participants and Controls: Fourteen consecutive patients with scleral rupture during RD surgery (cases) and 65 consecutive patients who underwent RD surgery without scleral rupture (controls). Intervention: Demographic and clinical data were abstracted from patients' medical records. Outcome Measures: Visual acuity and retinal attachment status at the last examination. Results: Significant risk factors for scleral rupture during RD surgery were reoperation after failed RD surgery (71% vs. 32%), and pre-existing scleral pathologic condition (29% vs. none). The site of rupture was in the bed of a previously placed scleral buckle in all patients with a previous buckling surgery. Repair of the rupture included scleral sutures in eight (57%), scleral patch graft in four (29%), and placement of a scleral buckle over the site in two (14%) eyes. Eleven (79%) underwent vitrectomy with retinal tamponade by gas (n = 4) or silicone oil (n = 7). Complications observed postoperatively included vitreoretinal incarceration (n = 3), vitreous hemorrhage (n = 2), suprachoroidal hemorrhage (n = 2) and subretinal hemorrhage (n = 3). In the 14 eyes with scleral rupture, the final visual acuity was ≥20/40 in 1 (7%), 20/50 to 20/200 in 5 (36%), and

Original languageEnglish (US)
Pages (from-to)848-852
Number of pages5
JournalOphthalmology
Volume107
Issue number5
DOIs
StatePublished - 2000
Externally publishedYes

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Risk Management
Retinal Detachment
Rupture
Visual Acuity
Hemorrhage
Silicone Oils
Vitreous Hemorrhage
Vitrectomy
Reoperation
Sutures
Medical Records
Case-Control Studies
Gases
Demography
Outcome Assessment (Health Care)
Transplants

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Scleral rupture during retinal detachment surgery : Risk factors, management options, and outcomes. / Tabandeh, Homayoun; Flaxel, Christina; Sullivan, Paul M.; Leaver, Peter K.; Flynn, Harry W.; Schiffman, Joyce.

In: Ophthalmology, Vol. 107, No. 5, 2000, p. 848-852.

Research output: Contribution to journalArticle

Tabandeh, Homayoun ; Flaxel, Christina ; Sullivan, Paul M. ; Leaver, Peter K. ; Flynn, Harry W. ; Schiffman, Joyce. / Scleral rupture during retinal detachment surgery : Risk factors, management options, and outcomes. In: Ophthalmology. 2000 ; Vol. 107, No. 5. pp. 848-852.
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