Non Drainage Scleral Buckling Surgery

Purpose: To determine safety and efficacy of non-drainage scleral buckling in selected cases of retinal detachment. Study design: Descriptive interventional case series. Place and duration of study: This study was performed at eye unit, Khyber Girls Medical College, Hayatabad medical complex, Peshawar from 1st Feb 2016 till 31st Jan 2017 (1 year). Methods: Total of 23 eyes of 23 patients of both gender having RD, were selected. Cases of RD with single break (preferably) or dialysis (≤ 3 clock hours) with PVR ≤ Grade B. Patients were included irrespective of macula status. We excluded cases with giant retinal tear, choroidal detachment, pseudophakic or aphakic eyes with rented posterior capsule and vitreous face disruption. Eyes with media opacities dense enough to obstruct satisfactory examination of posterior segment and eyes which had previous surgical interventions to reattach retina were also excluded. Retinal detachments of more than six clock hours (extent) were excluded. Cases which had accidental suture needle penetration, eyes with inferior bulbous RD, eyes in which tears could not be localized pre operatively and patients above 50 years of age were also not included. All cases underwent SB (non-drainages) surgery as primary intervention by a single surgeon. Silicone buckles were used as per patient's requirement and retinal cryopexy was done in all cases. A/C paracentesis were performed in 22 (96%) cases. All patients were followed daily till resolution of SRF or for maximum of 7 days (postoperatively) & at final follow up (120th day) postoperatively.