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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Strabismus 2013 ; 21 (4): 235-41 Nephropedia Template TP
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Effect of scleral buckle removal on strabismus surgery outcomes after retinal detachment repair #MMPMID24299332
Chang JH; Hutchinson A; Zhang M; Lambert SR
Strabismus 2013[Dec]; 21 (4): 235-41 PMID24299332show ga
Background/Aims: To investigate the effect of scleral buckle removal on the outcomes of strabismus surgery in patients with a prior history of retinal detachment surgery. Methods: We reviewed the medical records of 18 patients who underwent strabismus surgery following a scleral buckling procedure at one institution. We investigated the effect of multiple variables on outcome, including: gender, age, surgeon, number of strabismus surgeries, adjustable suture use, previous pars plana vitrectomy, preoperative best-corrected visual acuity and time of surgery. Outcomes were considered successful if there was ? 10 prism diopter (PD) residual horizontal and/or ? 4 PD residual vertical deviation. Outcomes were analyzed statistically using Fisher's exact test and Mann-Whitney test. Results: Strabismus surgery coupled with scleral buckle removal was associated with a higher rate of success (success with buckle removal, 62.5%; success without buckle removal, 10.0%; p=0.04). There were no significant difference in preoperative findings between the scleral buckle removal and non- removal groups. No retinal redetachments occurred after scleral buckle removal. Conclusion: In our series, scleral buckle removal was associated with improved surgical outcome in patients with strabismus following a scleral buckling procedure.