Clinical Outcomes of Scleral Buckling in Elderly Patients with Rhegmatogenous Retinal Detachment: A Retrospective Cohort Study.

IF 2.1 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-07-07 DOI:10.1097/IAE.0000000000004594

Xinlei Zhu, Mengying Xu, Nan Chen, Lingxiao Lun, Lei Wan

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引用次数: 0

Abstract

Purpose: To evaluate the outcomes of scleral buckling in elderly patients with rhegmatogenous retinal detachment (RRD) and identify independent predictors of postoperative visual outcomes.

Methods: This retrospective study included 290 eyes from 278 patients who underwent scleral buckling between 2018 and 2024. Patients aged ≥60 years were defined as the elderly group; those ≤30 years served as controls. Clinical parameters and surgical outcomes were analyzed. Logistic regression was performed in the elderly group to identify predictors of final visual acuity.

Results: In elderly patients, scleral buckling achieved a single-surgery anatomical success (SSAS) rate of 98.23%, with 92.03% showing stable or improved vision. Compared to younger patients, the elderly group had lower rates of postoperative intraocular pressure elevation (7.08% vs. 25.99%, P<0.001) and subretinal hemorrhage (2.65% vs. 9.60%, P=0.023), but a higher prevalence of posterior vitreous detachment (PVD; 71.7% vs. 17.5%, P<0.001), which was associated with break location and RRD quadrant (P<0.001). In the elderly group, multivariate analysis identified baseline visual acuity, macula-on status, and grade C proliferative vitreoretinopathy as independent predictors of visual outcomes (P<0.05).

Conclusion: Scleral buckling remains a safe and effective option for selected elderly RRD patients. Proper case selection and timely surgery are essential for achieving favorable outcomes in the vitrectomy era.

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老年孔源性视网膜脱离患者巩膜屈曲的临床结果：一项回顾性队列研究。

目的：评价老年孔源性视网膜脱离（RRD）患者巩膜扣合的效果，并确定影响术后视力的独立预测因素。方法：本回顾性研究包括2018年至2024年期间接受巩膜屈曲治疗的278例患者的290只眼睛。年龄≥60岁的患者为老年组；年龄≤30岁者作为对照组。分析临床参数和手术结果。对老年组进行Logistic回归，以确定最终视力的预测因素。结果：在老年患者中，巩膜扣带术的单手术解剖成功率（SSAS）为98.23%，其中92.03%的患者视力稳定或改善。与年轻患者相比，老年组术后眼压升高率较低（7.08% vs. 25.99%）。结论：巩膜扣带术对于部分老年RRD患者仍然是一种安全有效的选择。在玻璃体切除术时代，正确的病例选择和及时的手术是取得良好效果的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.